198015501-3-29-2022-33-CC-CGAN-CDGR7E-20220414124613

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198015501
Report Date: 03/29/2022
Date Signed: 03/29/2022 10:35:21 AM

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
02/28/2022 and conducted by Evaluator Anomeh Eivazian

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20220228095727

FACILITY NAME:	ARAKELYAN FAMILY CHILD CARE		FACILITY NUMBER:	198015501
ADMINISTRATOR:	ARAKELYAN, MARINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 487-7226
CITY:	PASADENA	STATE: CA	ZIP CODE:	91104
CAPACITY:	14	CENSUS: 8	DATE:	03/29/2022
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Marine Arakelyan, Licensee		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Licensee operated beyond the terms of the license.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Anomeh Eivazian contacted an unannounced complaint inspection to the above facility for the purpose of delivering the complaint finding on 03/29/2022. LPA arrived at 9:40 a.m. met with Marine Arakelyan, Licensee who guided analyst on a tour of the facility. During this inspection there were 8 children present in the facility, 4 being infants. Also, licensee’s assistant, Azniv Harutyunyan was present in the facility.

During this investigation, LPA Eivazian conducted interviews with staff, and a DCFS staff. Also LPA obtained a copy of facility roster.

Upon LPAs Eivazian and Kurdoglyan arrival in the facility on 03/08/2022 at 8:40 a.m. there were total of five children present with licensee, four being infants and one preschooler. At 8:50 a.m. licensee’s assistant arrived to the facility. Between 8:40 a.m. to 8:50 a.m. on 03/08/2022 licensee was observed to operate out of ratio with one infant.
REPORT CONTINUES ON NEXT PAGE 1 of 2

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 33-CC-20220228095727

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: ARAKELYAN FAMILY CHILD CARE	FACILITY NUMBER: 198015501
	VISIT DATE: 03/29/2022

NARRATIVE

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Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated at this time. A type B deficiency was issued on this date based on California Code of Regulation, 102416.5 (e) -- Staffing Ratio and Capacity Deficiency that is being cited need to be cleared to protect the children’s health & safety.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Marine Arakelyan, licensee at 10:30 a.m..

REPORT END 2 of 2

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 33-CC-20220228095727

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: ARAKELYAN FAMILY CHILD CARE	FACILITY NUMBER: 198015501
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/29/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/30/2022 Section Cited CCR 102416.5(e)	1 2 3 4 5 6 7	102416.5 (e) -- Staffing Ratio and Capacity If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not met as evidenced by	1 2 3 4 5 6 7	Per licensee, her assistant starts at 8:30 a.m., however she drives from Glendale and does not take free ways. On 03/08/2022 the assistant was running late and one of infants who starts at 9:00 a.m. was dropped off at 8:30 a.m. Per licensee, she will talk to one of the infants parent to ensure child is not dropped
	8 9 10 11 12 13 14	On 03/08/2022 between 8:40 a.m. to 8:50 a.m. licensee was observed to operate out of ratio with one infant. Between 8:40 a.m. to 8:50 a.m. there were total of five children present with licensee, four being infants. At 8:50 a.m. licensee’s assistant arrived to the facility. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14	off before 9:00 a.m.. Per licensee, as of 03/08/2022 her assistant arrives at the facility at 8:30 a.m.. A written declaration will be submitted to LPA Eivazian by 03/30/2022.
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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: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022

LIC9099 (FAS) - (06/04)

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