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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493251
Report Date: 01/03/2020
Date Signed: 01/15/2020 02:22:55 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
10/21/2019 and conducted by Evaluator Margarit Sislyan
COMPLAINT CONTROL NUMBER: 30-CC-20191021135706
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: 6DATE:
01/03/2020
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Zhanneta PeresechanskayaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Personal Rights:
Licensee pulls daycare children ears.;
Licensee locks children in room;
Licensee uses inappropriate form of discipline.
INVESTIGATION FINDINGS:
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Margarit Sislyan, Licensing Program Analyst (LPA) arrived at the facility to continue the investigation of the above allegation and deliver the investigation findings.
During the investigation LPA interviewed parties relevant to the allegation. LPA reviewed children’s files.
Based on LPA’s observation, interviews conducted and preponderance of evidence the above allegation is substantiated, means that the allegation is valid because the preponderance of the evidence standard has been met.

Licensee was cited Type A deficiency, according to California Code of Regulations Title 22 See 809D report for deficiencies. A copy of this report must be copied and given to all parents and to the parents of any child enrolling within the next 12 months.
Licensee is to post notice of Site Visit for 30 Days, failure to do so will result in $100 immediate civil penalty.

Exit interview conducted
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2020
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 30-CC-20191021135706
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PERESECHANSKAYA FAMILY CHILD CARE
FACILITY NUMBER: 197493251
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/03/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/03/2020
Section Cited
CCR
102423(a)(4)
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Personal Rights. Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee … To be free from corporal or unusual punishment.
This requirement is not met as evidenced, by statements from day care children during the interviews
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Licensee shall review Title 22 requirements regarding Personal Rights. Take a class regarding Children's personal rights and submit the proof to the department.
The review of Title 22 shall be completed no later than 1/13/2020.
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The day care children confirmed that the licensee used inappropriate form of discipline, Licensee pulls daycare children ears.; Licensee locks children in room;
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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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2