<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198013874
Report Date: 05/30/2023
Date Signed: 05/30/2023 12:54:39 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/25/2023 and conducted by Evaluator Anomeh Eivazian
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230425101930
FACILITY NAME:HAIRAPETIAN FAMILY CHILD CAREFACILITY NUMBER:
198013874
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:0CENSUS: 0DATE:
05/30/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Madlen HairapetianTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee handled day care child in a rough manner.
Licensee threw day care child across the floor
Licensee kicked day care child multiple times.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced complaint inspection to the above facility for the purpose of delivering the complaint finding. LPA arrived at 12:30 p.m. on 05/30/23. Home screen door was closed but the main entrance door was open and LPA was able to see inside the home. LPA met Madlen Hairapetian, Licensee behind the screen door who stated she does not want to deal with licensing anymore, and closed the door.

During this investigation, IB Investigator, Christine Ferries was able to review video footage of the incident that occurred on 04/12/23 at approximately 12:19 PM at the facility.

Based on IB Investigator, Christine Ferries, on video footage from 04/12/2023, the licensee was observed wiping the child#1’s face with a cloth and the child#1 was kicking her feet. The licensee then lifted the child#1 by both arms and threw the child#1 to the left side and about five feet away from her onto the floor where the child#1 possibly landed on back.
REPORT CONTINUES ON NEXT PAGE 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
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 5
Control Number 33-CC-20230425101930
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: HAIRAPETIAN FAMILY CHILD CARE
FACILITY NUMBER: 198013874
VISIT DATE: 05/30/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 The licensee was observed cleaning the highchair and the child#1 was seen crawling toward the pillow. The licensee then moved quickly toward where the child#1 was on the floor and pulled the pillow away from the child#1. The licensee was then observed kicking the child#1 three times.

Based on IB Investigator information and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated at this time. California Code of Regulation, 102423 (a) ( 2)--Personal Rights--Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment and 102402 (a) (3)--Revocation or Suspension of a License or Registration: (a)The Department shall have the authority to suspend or revoke any license for the following reasons: (3)Conduct in the operation or maintenance of a family day care home which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California are being cited on the attached LIC9099D.

LPA Anomeh Eivazian informed licensee, Madlen Hairapetian that this report dated 05/30/2023 document(s) 2 of Type A citations. Type A citations which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

LPA left a copy of report for licensee by the screen door at 1:15 p.m..


REPORT END 2 of 2
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20230425101930
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: HAIRAPETIAN FAMILY CHILD CARE
FACILITY NUMBER: 198013874
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/31/2023
Section Cited
CCR
102423(a)(2)
1
2
3
4
5
6
7
Personal Rights--Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. etc..
This requirement was not met as evidenced by...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Based on IB Investigator, Christine Ferries, licensee was observed in the video footage that on 04/12/23 approximately at 12:19 PM, lifted the child#1 by both arms and threw the child#1 to the left side and about five feet away from her onto the floor and kicking child#1 three times.
This poses an immediate health, safety and personal right risks to the children in care.
8
9
10
11
12
13
14
Type A
05/31/2023
Section Cited
CCR
102402(a)(3)
1
2
3
4
5
6
7
Revocation or Suspension of a License or Registration: (a)The Department shall have the authority to suspend or revoke any license for the following reasons: (3)Conduct in the operation or maintenance of a family day care home which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California
This requirement was not met as evidenced by...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Based on IB Investigator, Christine Ferries, licensee was observed in the video footage that on 04/12/23 approximately at 12:19 PM, lifted the child#1 by both arms and threw the child#1 to the left side and about five feet away from her onto the floor and kicking child#1 three times.
This poses an immediate health, safety, and personal right risks to the children in care.
8
9
10
11
12
13
14
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: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/25/2023 and conducted by Evaluator Anomeh Eivazian
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230425101930

FACILITY NAME:HAIRAPETIAN FAMILY CHILD CAREFACILITY NUMBER:
198013874
ADMINISTRATOR:HAIRAPETIAN, MADLENFACILITY TYPE:
810
ADDRESS:3302 PARAISO WAYTELEPHONE:
(818) 248-2628
CITY:LA CRESCENTASTATE: CAZIP CODE:
91214
CAPACITY:0CENSUS: 0DATE:
05/30/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Madlen HairapetianTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee forced food repeatedly into day care child's mouth with their eyes covered.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced complaint inspection to the above facility for the purpose of delivering the complaint finding. LPA arrived at 12:30 p.m. on 05/30/23. Home screen door was closed but the main entrance door was open and LPA was able to see inside the home. LPA met Madlen Hairapetian, Licensee behind the screen door who stated she does not want to deal with licensing anymore, and closed the door.

During this investigation, IB Investigator, Christine Ferries was able to review video footage from the incident that occured on 04/12/23 at approximately 12:19 PM at the facility.

Based on IB Investigator, Christine Ferries, on video footage from 04/12/2023, the licensee was observed wiping the child#1’s face with a cloth and the child#1 was kicking her feet. The licensee then lifted the child#1 by both arms and threw the child#1 to the left side and about five feet away from her onto the floor where the child#1 possibly landed on back. The licensee was observed cleaning the highchair and
REPORT CONTINUES ON NEXT PAGE 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20230425101930
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: HAIRAPETIAN FAMILY CHILD CARE
FACILITY NUMBER: 198013874
VISIT DATE: 05/30/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 the child#1 was seen crawling toward the pillow. The licensee then moved quickly toward where the child#1 was on the floor and pulled the pillow away from the child#1. The licensee was then observed kicking the child#1 three times.

Although the allegations may have happened or is valid, there are not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is Unsubstantiated.

The notice of site visit was posted where the parent/guardian of children enter and exit the facility. This notice shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

LPA left a copy of report for licensee by the screen door at 1:15 p.m.
REPORT END 2 of 2
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5