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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019099
Report Date: 07/14/2022
Date Signed: 07/14/2022 11:53:43 AM

Unsubstantiated


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
03/01/2022 and conducted by Evaluator Anomeh Eivazian
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220301102855
FACILITY NAME:SHAHNAZARYAN FAMILY CHILD CAREFACILITY NUMBER:
198019099
ADMINISTRATOR:LIANNA SHAHNAZARYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 523-6580
CITY:GLENDALESTATE: CAZIP CODE:
91202
CAPACITY:14CENSUS: 13DATE:
07/14/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Liana Shahnazaryan, LicenseeTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Day care child sustained a fracture while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced complaint inspection to the above facility to deliver the complaint finding. LPA arrived at 11:30 a.m. on 07/14/2022 and met with Liana Shahnazaryan, licensee who guided analyst on a tour of the facility. During this inspection also licensee’s assistant, Siranush Antonyan was present in the home. During this inspection there were 13 children present in the facility, one being 6 six years old.

During this investigation, IB investigator Laura Garcia conducted interviews with all related individuals. Additionally, the Glendale PD incident report, copy of x-rays and medical records were obtained.

Based on interviews conducted, a “right femur fracture” is a common fracture for the child#1 age group, and there was no question or concern regarding the child#1 ’s fracture pattern. When the incident occurred, staff#1 evaluated the child#1 and contacted the child #1’s parents to inform them of the incident details. The statement’s provided by the facility staff were consistent with the incident details and deemed it accidental.
REPORT CONTINUES TO THE 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: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022
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 2
Control Number 33-CC-20220301102855
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: SHAHNAZARYAN FAMILY CHILD CARE
FACILITY NUMBER: 198019099
VISIT DATE: 07/14/2022
NARRATIVE
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Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations 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.

Exit interview was conducted with Licensee, Liana Shahnazaryan at 12:15 p.m., Appeal Rights procedures explained.
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: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2