197419778-1-26-2022-30-CC-MRUZ-CB4QZB-20220128113629

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419778
Report Date: 01/26/2022
Date Signed: 01/26/2022 02:58:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/08/2021 and conducted by Evaluator Lisa Clayton

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20211108084135

FACILITY NAME:	AGSHEHIRLYAN FAMILY CHILD CARE		FACILITY NUMBER:	197419778
ADMINISTRATOR:	KARINE AGSHEHIRLYAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 448-6767
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91601
CAPACITY:	14	CENSUS: 12	DATE:	01/26/2022
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	KARINE AGSHEHIRLYAN		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Personal Rights: Provider hits day care child.
Personal Rights: Provider handled day care child in rough manner.
Personal Rights: Day care child's diapering needs were not met

INVESTIGATION FINDINGS:

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On 01/26/2022, LPA Clayton conducted an un-announced visit to deliver the findings regarding the above mentioned allegations. LPA was greeted by Licensee Karine Agshehirlyan. Also present were 2 assistants and 12 children in care. LPA toured the home for a Health & Safety inspection.

During the investigation, LPA conducted interviews with licensee, 1 child, Staff, and parents/authorized representatives. Interviews with parents revealed they have no concerns and are happy with the staff well as the care provided to their children. LPA observed children being handled appropriately by licensee and staff.

Based on LPAs observations, and interviews the above allegation(s) is found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.

Exit interview conducted and report was reviewed with licensee Agshehirlyan. A notice of site visit was given and must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lisa Clayton	TELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2022

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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