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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198017479
Report Date: 02/26/2021
Date Signed: 02/26/2021 09:33:43 AM



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
02/12/2021 and conducted by Evaluator Anomeh Eivazian
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210212131502
FACILITY NAME:MY WONDER YEARS PRESCHOOLFACILITY NUMBER:
198017479
ADMINISTRATOR:DIANA MENEDJIANFACILITY TYPE:
850
ADDRESS:312-324 RIVERDALE DRIVETELEPHONE:
(818) 247-9900
CITY:GLENDALESTATE: CAZIP CODE:
91204
CAPACITY:130CENSUS: 16DATE:
02/26/2021
UNANNOUNCEDTIME BEGAN:
08:44 AM
MET WITH:Lusine Saakyan, DirectorTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Facility is not following their menu plan
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Anomeh Eivazian, conducted an unannounced complaint inspection to the above facility for the purpose of delivering complaint investigation finding at 8:44 a.m.. Upon arrival LPA met with Director, Lusine Saakyan who guided LPA on a tour of the facility. There were 16 children present during this inspection at 8:44 a.m..

An investigation was conducted regarding the complaint allegation listed above. During the investigation interviews were conducted with staff, complainant, and random parents. During the course of the investigation LPA obtained a copy of facility roster, menu and pictures were taken from kitchen.

Based on interviews that were conducted with staff #1 and staff#2, it happened they switched the food on the menu.

REPORT CONTINUES TO THE NEXT PAGE 1 OF 2
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
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-20210212131502
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: MY WONDER YEARS PRESCHOOL
FACILITY NUMBER: 198017479
VISIT DATE: 02/26/2021
NARRATIVE
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Per staff #1 and staff#2 for example on 02/18/21 they replaced the chicken breast strips with beef stew. Per staff#1 on 02/17/21 they replaced the chicken soup with vermicelli. Per staff#1, there was a time that they would note on the menu which is posted outside by the sign in /out table to be seen by the parents but lately they did not note on the menu for parents. Per staff#1, there has not been any form of communication with parents if they switch the food of the day.

Based on interviews that were conducted with four random parents they did not receive any form of notifications from school if there was any changes on the menu.



Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been meet, therefore the above allegation is found to be Substantiated at this time. California Code of Regulations, 101229(a)(6), Food Services and are being cited on the attached LIC9099D.

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.

Exit interview was conducted with Director, Lusine Saakyan at 9:45 a.m.. Appeal Rights procedures explained. A copy of this report and all other Licensing reports must be made available to the public for 3 years.

REPORT END 2 OF 2
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20210212131502
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: MY WONDER YEARS PRESCHOOL
FACILITY NUMBER: 198017479
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/05/2021
Section Cited
CCR
101227(a)(6)
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Food Services-- Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file...
This requirement was not met as evidenced by
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Per director, Lusine Saakyan, from now on they will try to stick with the menu as much as possible, if there will be any changes on the menu, a notification will be sent out to all the parents via email and menu on the parents board will be updated.
A written plan will be provided to LPA as proof of correction by 03/05/2021.
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Based on observation and interviews that were conducted with staff, the facility did not inform parents when they switch the menu around, this poses a potential health and safety risk and personal right risk 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: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5