<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191890442
Report Date: 03/15/2022
Date Signed: 03/15/2022 11:17:11 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/15/2021 and conducted by Evaluator Liana Stepanyan
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20211115150552
FACILITY NAME:PINEWOOD AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191890442
ADMINISTRATOR:RACHEL MERMELLFACILITY TYPE:
850
ADDRESS:7051 VALMONT STREETTELEPHONE:
(818) 352-4469
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY:96CENSUS: 62DATE:
03/15/2022
UNANNOUNCEDTIME BEGAN:
10:32 AM
MET WITH:Ani NicholasTIME COMPLETED:
12:03 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights – On 11/10/21, staff #1 had inappropriate contact with child #1 during nap time.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/15/2022, Licensing Program Analyst (LPA) Liana Stepanyan conducted a subsequent complaint investigation for the purpose of delivering the findings for the above allegation. Upon arrival, LPA was greeted by Ani Nicholas. LPA observed 62 children under care and supervision with 13 staff members.
The investigation of the above allegation was conducted by Special Investigator Olivia Spindola. The investigation consisted of interviews with staff, witness, child #1, and other complaint relevant parties, including review of medical records and documents pertaining to the investigation.

The interviews conducted revealed child #1 did not disclose inappropriate contact by staff #1. Staff #1 denied any inappropriate contact occurred. Furthermore, staff #2 and staff #3 were present on 11/10/21 during nap time and they denied the allegation occurred.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 12-CC-20211115150552
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PINEWOOD AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191890442
VISIT DATE: 03/15/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on the statements obtained during interviews conducted including other relevant documents, the above allegation has been deemed to be unsubstantiated on the preponderance of evidence. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred.

An exit interview was conducted, a copy of this report, and notice of site visit was provided to the principle Ani Nicolas along with appeal rights.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2