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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008821
Report Date: 07/20/2021
Date Signed: 07/20/2021 10:22:06 AM

Document Has Been Signed on 07/20/2021 10:22 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:AMISTAD PRESCHOOLFACILITY NUMBER:
198008821
ADMINISTRATOR:ANAHIT SHMAVONYANFACILITY TYPE:
850
ADDRESS:2037 N. LINCOLN PARK AVE.TELEPHONE:
(323) 441-8718
CITY:LOS ANGELESSTATE: CAZIP CODE:
90031
CAPACITY: 48TOTAL ENROLLED CHILDREN: 0CENSUS: 11DATE:
07/20/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Site Supervisor, Anahit ShmavonyanTIME COMPLETED:
10:00 AM
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On July 20, 2021 at 9:30 a.m., Licensing Program Analyst (LPA) Mireya García, contacted Site Supervisor, Anahit Shmavonyan, via telephone due to COVID-19 and precautionary measures in order to provide the findings of the Case Management investigation. At 9:49 a.m., the call was transferred into a FaceTime tele-inspection. LPA García discussed the purpose of the call. During this tele-inspection the Site Supervisor took this LPA on a virtual tour of the facility. There were 11 children observed to be present at the facility during this tele-inspection.

On March 25, 2021 an incident was self-reported to the Department via telephone by the facility who reported a parent alleges that child disclosed facility staff #1 spanked child while in care.

During this investigation, LPA García obtained; documents and conducted interviews with staff & children.

Pertaining to the allegation of facility staff #1 spanked child while in care, all interviews conducted with staff determined staff denied observing or having knowledge of any child being hit while in care. In addition, all staff denied having knowledge of any issues with any child in care. All four (4) interviews with day care children made no disclosures. Based on the interviews conducted, at this time there is not enough evidence to support the above allegation.


REPORT CONTINUES ON NEXT PAGE 1 OF 2.
Brandi VanOosten
Mireya Garcia
DATE: 07/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: AMISTAD PRESCHOOL
FACILITY NUMBER: 198008821
VISIT DATE: 07/20/2021
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This agency has investigated the incident reported alleging staff #1 spanked child in care. Although the allegation may have happened or is valid; Based on interviews conducted; there were no witnesses to the allegation and the child in question was not able to be located for interview, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the allegation is deemed Unsubstantiated. Should additional information become available in the future, this investigation may be reopened.

A Notice of Site Visit was not provided to Site Supervisor, Anahit Shmavonyan since a physical inspection was not conducted.

Exit interview was conducted with Site Supervisor, Anahit Shmavonyan via tele-inspection, during which Appeal Rights were verbally explained to Site Supervisor. A copy of this report has been signed by LPA García. This report, along with a copy of the Appeal Rights (LIC 9058) will be scanned via e-mail to Site Supervisor, Anahit Shmavonyan, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature. The facility representative was provided with the mailing address to the Monterey Park Regional Office (1000 Corporate Center Drive, Suite 200B, Monterey Park, CA 91754) and agrees to send a copy of the signed LIC 809 reports by email to LPA and mail originals forms to the office.

END OF REPORT: PAGE 2 OF 2.

SUPERVISOR'S NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2021
LIC809 (FAS) - (06/04)
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