197493792-9-3-2019-30-CC-MRUZ-BFVTNL-20190910145256

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197493792
Report Date: 08/30/2019
Date Signed: 09/03/2019 09:02:49 AM

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
06/11/2019 and conducted by Evaluator Silva Garibyan

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20190611144853

FACILITY NAME:	31ST DISTRICT PTSA CREATIVE KIDS ANATOLA		FACILITY NUMBER:	197493792
ADMINISTRATOR:	MONTIEL, KENIS		FACILITY TYPE:	840
ADDRESS:	7364 ANATOLA AVENUE		TELEPHONE:	(818) 996-2668
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91406
CAPACITY:	72	CENSUS: 0	DATE:	08/30/2019
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Genesis Perez/ Office assistant		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff denied child a snack

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Silva Garibyan conducted a visit to the facility for the purpose of delivering the findings on the above allegations. LPA met with Genesis Perez, office assistant at 8 : 45 a.m on 08/30/2019. There were no children present at the time of the visit.

Based upon the evidence obtained through the course of investigation which include observations at the facility, interview with relevant parties there is insufficient evidence to support or disprove that facility staff denied child a snack. Therefore, this allegation has been determined unsubstantiated. A finding that the complaint 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.
An exit interview was conducted and a copy of this report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019

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