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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019175
Report Date: 01/19/2023
Date Signed: 01/19/2023 01:31:10 PM


Document Has Been Signed on 01/19/2023 01:31 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:BRIGHT FUTURE MONTESSORI INC.FACILITY NUMBER:
198019175
ADMINISTRATOR:SYUZANNA JEREJYANFACILITY TYPE:
850
ADDRESS:1911 WALTONIA DR.TELEPHONE:
(818) 309-4422
CITY:MONTROSESTATE: CAZIP CODE:
91020
CAPACITY:63CENSUS: 49DATE:
01/19/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Syuzanna JerejyanTIME COMPLETED:
11:30 AM
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Licensing Program Analysts (LPAs) Crystal Green and Mary Silva conducted an unannounced case management inspection to follow up on an incident that was reported to the Department. Licensing staff met with Director, Syuzanna Jerejyan, also present during this inspection was Licensee, Varvuhi Hareyan. Census was taken.

On 12/07/2022, an unusual incident report was made to the department regarding an unusual incident that occurred on that day with involved local authorities being present at the facility. The facility reported this incident to the Department within the required 24 hours. Per Director, an allegation was made to the local authorities against a staff member that involved a child in care. LPA interviewed several staff members regarding the allegation. Based on the information obtained, there is not enough preponderance of evidence to substantiate the allegation of a child’s personal rights being violated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted with the Director, Syuzanna Jerejyan.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:
DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/19/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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