191890345-9-28-2023-58-CC-RRAS-CWKT86-20231013142947

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191890345
Report Date: 09/28/2023
Date Signed: 09/28/2023 12:42:54 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/18/2023 and conducted by Evaluator Joe Katrdzhyan

COMPLAINT CONTROL NUMBER: 58-CC-20230718140227

FACILITY NAME:	FAIR AVENUE EARLY EDUCATION CENTER		FACILITY NUMBER:	191890345
ADMINISTRATOR:	VIKEN KAZARIAN		FACILITY TYPE:	850
ADDRESS:	11300 KITTRIDGE ST.		TELEPHONE:	(818) 985-1790
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91606
CAPACITY:	120	CENSUS: 59	DATE:	09/28/2023
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Principal / Lessly Mora		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not provide adequate supervision, resulting in a day care child sustaining a fracture.

Staff did not seek timely medical attention for day care child.

Center not providing a safe, and comfortable environment for children in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced complaint inspection to the above facility on 9/29/23. LPA arrived to the facility at 11:45AM and met with Principal / Lessly Mora, who guided LPA on a tour of the facility. There were 59 children with 16 staff present upon arrival.
The purpose of the visit is to deliver findings for the above allegations. The investigation regarding the above mentioned allegations was conducted by LPA / Lilia Hernandez.

During the investigation conducted by LPA Hernandez, interviews were conducted with various persons, records were reviewed, pictures were obtained, copies of rosters and other pertinent information and documents were also obtained.

Information provided by the reporting party indicated that staff did not provide adequate supervision and that resulted in a day care child sustaining a fracture, staff did not seek timely medical attention for child in day care, center did not provide a safe, and comfortable environment for children in care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 58-CC-20230718140227

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FAIR AVENUE EARLY EDUCATION CENTER	FACILITY NUMBER: 191890345
	VISIT DATE: 09/28/2023

NARRATIVE

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Principal stated that supervision is provided, and child was within staff visual and audio supervision. The Principal also disclosed that the incident that occurred on 5/31/2023 was also reported to the licensing department regarding a child falling from a slide which resulted in a fracture to the arm. The fall was reported to the parent immediately and the parent picked up child after being notified. Principal stated that the child who sustained an injury to their arm, returned to school and an agreement was made with the parent to make accommodations for the child while under a physician’s care.

While interviewing staff, Staff #2 disclosed that the child was observed going down the slide and midway down the slide, child stood up to climb back up the slide in which staff #2 observed child fall and land on there right side of their body. Staff disclosed that the incident took place during transition from the outdoors to indoors. Time frames were consistent between staff in which the incident occurred between 9:55AM and 10:00AM. Staff also disclosed that child was provided with first aid and kept stable until parent arrived to pick up child. Staff disclosed that while the child was under physician’s care, the child was to relocate to a different classroom for indoor activities while their class went outdoors to play.
While interviewing parents, Parent #6 made no disclosures regarding the center not providing a safe and comfortable environment and disclosed they are satisfied with the operation of the facility. Documents obtained from the facility show the child was picked up at 10:08AM, signed out by parent and that the child was not to participate in physician education classes.

Based on the investigation conducted by LPA Hernandez, it has been determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Principal / Lessly Mora, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

LIC9099 (FAS) - (06/04)

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