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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018582
Report Date: 10/29/2019
Date Signed: 10/29/2019 02:48:34 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/02/2019 and conducted by Evaluator Tyicee Lawson
COMPLAINT CONTROL NUMBER: 12-CC-20191002142129
FACILITY NAME:YERANYAN FAMILY CHILD CAREFACILITY NUMBER:
198018582
ADMINISTRATOR:YERANYAN, SRBUHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 423-9766
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY:14CENSUS: 10DATE:
10/29/2019
UNANNOUNCEDTIME BEGAN:
01:28 PM
MET WITH:Srbuhi YeranyanTIME COMPLETED:
03:03 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation 1: Licensee has been absent from the facility for longer than permitted
Allegation 2: Facility is operating over capacity
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Lawson met with Licensee, Srbuhi Yeranyan, for the purpose of conducting an unannounced Complaint Investigation for the above allegations. Licensee facilitated a tour of the facility, LPA observed 10 children and 2 staff.
During the investigation LPA observed the facility, conducted staff file reviews, and conducted interviews. Based on interviews conducted, files reviewed and LPA observations the center is found to be operating within capacity and the Licensee has not been absent from the facility for longer than permitted; therefore, the allegation is 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 alleged allegations occurred. At this time LPA unable to make determination that any violation occurred.

A copy of this report was read and provided to Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Tyicee LawsonTELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019
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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