197412216-8-2-2024-58-CC-BBEL-D855QP-20240813200952

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197412216
Report Date: 08/02/2024
Date Signed: 08/02/2024 11:40:17 AM

Substantiated

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
05/08/2024 and conducted by Evaluator Silva Garibyan

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20240508142715

FACILITY NAME:	HOLY TRINITY ARMENIAN PRESCHOOL, INC.		FACILITY NUMBER:	197412216
ADMINISTRATOR:	NIKOGOSYAN, LARISA		FACILITY TYPE:	850
ADDRESS:	11960 VICTORY BLVD.		TELEPHONE:	(818) 761-7564
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91606
CAPACITY:	82	CENSUS: 17	DATE:	08/02/2024
		UNANNOUNCED	TIME BEGAN:	07:20 AM
MET WITH:	Larisa Nikogosyan, Director		TIME COMPLETED:	09:15 AM

ALLEGATION(S):

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1) Licensee does not ensure that children are in a healthy environment
2) Licensee did not report incident to appropriate parties

INVESTIGATION FINDINGS:

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On 08/02/2024 at 7:20 am, Licensing Program Analyst (LPA) Silva Garibyan arrived at Holy Trinity Armenian Preschool, Inc. to deliver the findings of a complaint received by the Department on 05/08/24 associated to Complaint Control Number 58-CC-20240508142715. LPA met with Larisa Nikogosyan, Director and explained the purpose of the visit. During today’s visit, there were six staff providing care to 17 children.

During the investigation into the allegations listed above, LPA obtained copies of the mold investigation reports, made observations, and conducted interviews with three staff.

The allegations indicate that “Licensee does not ensure that children are in a healthy environment” and “Licensee did not report incident to appropriate parties”.

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Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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-20240508142715

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: HOLY TRINITY ARMENIAN PRESCHOOL, INC.	FACILITY NUMBER: 197412216
	VISIT DATE: 08/02/2024

NARRATIVE

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When interviewed, S1, S2, and S3 stated that the ceiling of the closet located in the classroom collapsed due to the rain. There was visible mold in the closet, but the children did not have access to it. The director notified the church, which then hired a mold-inspecting company. The company detected mold at the school, and the school followed the company's remediation requirements. On May 24, the school went through a post-remediation inspection, and debris or visible mold growth was not detected. S1 and S2 explained that they notified the parents of the mold following the test results from the mold inspection company on 05/09/2024. The Unusual Incident Report (LIC624) was provided during the department's first visit on 05/13/2024

Based upon interviews conducted, observations, and reviews of records, the allegations have been determined to be Substantiated. A finding of Substantiated means that the preponderance of evidence standard has been met. California Code of Regulations, Title 22, Division 12 Chapter 1 Article 07. Physical Environment, Section 101238 “Buildings and Grounds” and California Code of Regulations, Title 22, Division 12 Chapter 1 Article 06. Continuing Requirements, Section 101212 “Reporting Requirements" are being cited.

Please refer to LIC9099-D for documentation of deficiencies.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Larisa Nikogosyan, Director.

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SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC9099 (FAS) - (06/04)

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Control Number 58-CC-20240508142715

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: HOLY TRINITY ARMENIAN PRESCHOOL, INC.	FACILITY NUMBER: 197412216
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/02/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/09/2024 Section Cited CCR 101238(a)	1 2 3 4 5 6 7	Buildings and Grounds: The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	The school followed the remediation requirements set forth by the professional mold inspection company, and no debris or mold was detected during the post-remediation inspection.
	8 9 10 11 12 13 14	Mold was detected in the school and confirmed by a professional mold inspection company which poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
Type B 08/02/2024 Section Cited CCR 101212(d)(C)	1 2 3 4 5 6 7	Reporting Requirements: Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written	1 2 3 4 5 6 7	The Unusual Incident Report was provided during department’s first visit on 05/13/2024. Director was provided a copy of this regulation section and was given consultation on reporting unusual incidents and its timeframes. Director agrees to submit a written statement indicating her understanding of this regulation by 08/09/2024.
	8 9 10 11 12 13 14	report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. This requirement is not met as evidenced by: The school did not report the detected mold to CCL in a timely manner which poses a potential risk to the health and safety of children in care	8 9 10 11 12 13 14

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC9099 (FAS) - (06/04)

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