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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493251
Report Date: 06/27/2019
Date Signed: 06/27/2019 01:47:01 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
05/01/2019 and conducted by Evaluator Margarit Sislyan
COMPLAINT CONTROL NUMBER: 30-CC-20190501142040
FACILITY NAME:PERESECHANSKAYA FAMILY CHILD CAREFACILITY NUMBER:
197493251
ADMINISTRATOR:YERESECHANSKAYA, ZHANNETAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 800-0911
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:14CENSUS: 10DATE:
06/27/2019
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Zhanneta PeresechanskayaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Margarit Sislyan, Licensing Program Analyst (LPA) arrived at the facility to continue the investigation of the above allegations and deliver the investigation findings.

LPA met and interviewed licensee and her assistant.
Upon arrival LPA observed 10 children were present with Licensee and her assistant.
During the investigation LPA interviewed day care parents and day care children.

Based on LPA, observation and the investigation conducted and preponderance of evidence the above allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (424) 302-3048
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: ((42) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019
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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