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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018582
Report Date: 05/17/2022
Date Signed: 05/17/2022 04:06:55 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/16/2022 and conducted by Evaluator Liana Stepanyan
COMPLAINT CONTROL NUMBER: 12-CC-20220516112923
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: 0DATE:
05/17/2022
UNANNOUNCEDTIME BEGAN:
03:27 PM
MET WITH:Srbuhi Yeranyan, LicenseeTIME COMPLETED:
04:13 PM
ALLEGATION(S):
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TSO sign is not readily visible and accessible to the parents or guardians of children
INVESTIGATION FINDINGS:
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On May 17, 2022, Licensing Program Analysts (LPA) Liana Stepanyan and Mariela Ramon conducted a complaint investigation for the above allegations. Upon arrival, LPA and LPM were greeted by licensee who guided LPA and LPM on a tour of the facility. LPM and LPA did not observe any children present during inspection.

Earlier today, LPA and LPM arrived at the facility at 1:15pm, however no one was home. LPA and LPM observed the screen door open preventing TSO sign from being visible to the public. LPA also observed parent board was placed at the front door next to the screen door. Photographs were taken by LPA.

LPA and LPM returned to the facility at 3:02pm, LPA and LPM observed the screen door was now closed and TSO sign is now visible to parents or guardians of children.



Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022
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 4
Control Number 12-CC-20220516112923
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: YERANYAN FAMILY CHILD CARE
FACILITY NUMBER: 198018582
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/17/2022
Section Cited
HSC
1596.8895(a)
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Notice of suspension of license to parent or legal guardian: Whenever the director temporarily suspends the license, registration, ... Removal of the posted notice while the temporary suspension is in effect is a violation of this chapter punishable by a fine of five hundred dollars ($ 500). This requirement was not met as evidenced by:
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Licensee must ensure the TSO posting is readily visible and accessible to the parents or guardians of children receiving services at the facility.
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Based on observation , evidence obtained and information learned by the department, the licensee kept the screen door open on May16-17, 2022, preventing TSO posting from being visible, which poses an immediate Health, Safety or personal rights 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: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 12-CC-20220516112923
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: YERANYAN FAMILY CHILD CARE
FACILITY NUMBER: 198018582
VISIT DATE: 05/17/2022
NARRATIVE
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The department learned that licensee kept screen door open on May 16 and 17, 2022 preventing the notice of TSO being visible to the public.

Based on LPA and LPM observations and evidence obtained, the preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated.

Licensee was issued a Type A citation today along with a Civil Penalty assessment in the amount of $500.00 for violating the H&S code 1596.8895(a) Notice of suspension of license to parent or legal guardian. See LIC9099D for deficiency.

Discussed appeal rights with licensee. Be aware that Notice of Site Visit must be posted for 30 days. Furthermore, upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

Exit interview was conducted with the Licensee and appeal rights explained and provided along with notice of site visit.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4