197494077-8-30-2024-58-CC-RNAO-D99SQA-20240919140421

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197494077
Report Date: 08/30/2024
Date Signed: 08/30/2024 01:21:47 PM

Unsubstantiated

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
06/26/2024 and conducted by Evaluator Suzette Ornelas

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20240626121252

FACILITY NAME:	ARUTYUNYAN FAMILY CHILD CARE		FACILITY NUMBER:	197494077
ADMINISTRATOR:	ARUTYUNYAN, MARINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 281-4895
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91405
CAPACITY:	14	CENSUS: 6	DATE:	08/30/2024
		UNANNOUNCED	TIME BEGAN:	08:27 AM
MET WITH:	MARINA ARUTYUNYAN		TIME COMPLETED:	01:12 PM

ALLEGATION(S):

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Due to lack of supervision, child received an injury

INVESTIGATION FINDINGS:

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On 8/30/2024, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced follow up complaint inspection for the purpose of delivering the findings for the above-mentioned allegation. Upon arrival, LPA was greeted and let into the facility by Licensee, MARINA ARUTYUNYAN to whom the reason for the inspection was announced. LPA toured the facility and observed 6 daycare children and 1 staff.

During the course of the investigation, LPA Ornelas made observations, obtained documentation in the form of children’s roster, and conducted interviews in regard to the above allegations.

-Pertaining to the allegation that -Due to lack of supervision, child received an injury
According to the Reporting Party (RP), Child 1 (C1) sustained a broken bone while playing on a trampoline at the facility due to lack of supervision.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024

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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Control Number 58-CC-20240626121252

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: ARUTYUNYAN FAMILY CHILD CARE	FACILITY NUMBER: 197494077
	VISIT DATE: 08/30/2024

NARRATIVE

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According to Staff 1 (S1) and Staff 2 (S2) they were present in the backyard when the child was injured and provided first aid and made immediate contact with parent.

LPA attempted to interview Child 2 (C2) and Child 3 (C3); however, LPA was unable to qualify children.

Based on the evidence as documented above, the allegations have been determined to be 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 allegation occurred.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee, MARINA ARUTYUNYAN.

SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024

LIC9099 (FAS) - (06/04)

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