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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493473
Report Date: 12/11/2020
Date Signed: 12/11/2020 01:17:07 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
11/04/2020 and conducted by Evaluator Ericka Hill
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20201104095534
FACILITY NAME:GRIGORYAN FAMILY CHILD CAREFACILITY NUMBER:
197493473
ADMINISTRATOR:GRIGORYAN, SHUSHANIKFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 307-6872
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91403
CAPACITY:14CENSUS: 0DATE:
12/11/2020
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Shushanik GrigoryanTIME COMPLETED:
01:18 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff has inappropriate interactions with the daycare child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/11/2020 at 1:00pm Licensing Program Analyst (LPA) Ericka Hill called Licensee, Shushanik Grigoryan to deliver the findings regarding a complaint received on 11/04/2020.
During the investigation LPA conducted interviews and reviewed records. Interviews revealed that S1 greeted C1 emotionally during morning drop-off transition time due to being affected by the Turkish-Armenian War. Interviews also revealed that S1 did not state anything inappropriate to C1 or their authorized representative during the day of the alleged incident.
Based on the interviews conducted and records reviewed, the allegation above was found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.
LPA Hill advised Licensee to remain professional and to not let outside experiences affect the daycare practices and interactions.
An exit interview was conducted and a copy of the LIC9099 and Notice of Site Visit was provided to the Licensee. LPA Hill informed the Licensee to read, sign, and email the LIC9099 back to LPA Hill.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka HillTELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2020
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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