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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493839
Report Date: 10/26/2022
Date Signed: 10/26/2022 04:55:22 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
10/21/2022 and conducted by Evaluator Suzette Ornelas
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20221021124547
FACILITY NAME:MKRTCHYAN FAMILY CHILD CAREFACILITY NUMBER:
197493839
ADMINISTRATOR:MKRTCHYAN, ARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 406-7898
CITY:VAN NUYSSTATE: CAZIP CODE:
91405
CAPACITY:14CENSUS: 10DATE:
10/26/2022
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Armen Mkrtchyan- LicenseeTIME COMPLETED:
05:25 PM
ALLEGATION(S):
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Physical Plant - Licensee has altered the FCCH without notifying CCL
INVESTIGATION FINDINGS:
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On 10/26/2022 at 12:45pm Licensing Program Analyst (LPA) Suzette Ornelas made an unannounced visit for the purpose of conducting an initial investigation regarding the above allegation. LPA Ornelas met with Armen Mkrtchyan, Licensee.

LPA toured the facility per facility sketch and observed 10 children (9 toddlers, 1 infant) in care supervised by 2 staff in the on limits day care room. LPA observed, areas of the home that were previously noted on the faility sketch to be off limits curently on limits. Licensee was able to provide LPA with an updated facility sketch which provides updated on limits rooms in the home.

LPA asked licensee if any alterations were done to the home since moving in and licensee stated that the front fence was put in. LPA asked licensee if there was a permit available to view. Licensee stated that he did not have a permit at this time; however, is currently in contat with city inspector regarding the matter and further stated that per city inspector, the fence needs to be taken down.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
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 4
Control Number 58-CC-20221021124547
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MKRTCHYAN FAMILY CHILD CARE
FACILITY NUMBER: 197493839
VISIT DATE: 10/26/2022
NARRATIVE
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Licensee stated that within 90 days, he would be altering the fence to meet compliance.

LPA provided licensee with a copy of the 102416.3 Alterations to Existing Buildings or Grounds regulation to ensure compliance moving forward.

Based on the information obtained, the above allegation is substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted and a copy of this report was provided.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 58-CC-20221021124547
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MKRTCHYAN FAMILY CHILD CARE
FACILITY NUMBER: 197493839
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/26/2022
Section Cited
CCR
102416.3(a)(6)
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CCR 102416.3(a)(6)
Alterations to Existing Buildings or Grounds: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.
This requirement is not met as evidenced by:
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Licensee will provide LPA with an updated facility sketch.
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Based on LPA observation and statements made licensee, areas of the family child care home previously identified as "off limits" have been turned into to an area where care and supervision are being provided to children in care.
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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: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 58-CC-20221021124547
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MKRTCHYAN FAMILY CHILD CARE
FACILITY NUMBER: 197493839
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/26/2022
Section Cited
CCR
102416.3(b)
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CCR 102416.3(b)
The licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector as a result of the alteration, addition or construction.
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Licensee stated he will be contacting the city inspector and lowering the fence to meet requirements within the next 90 days. POC due date: 01/26/2023.
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Based on LPA observation and statements made by licensee, he is currently working with the city to resolve this and is unable to obtain a permit.
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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: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4