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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020210
Report Date: 06/07/2023
Date Signed: 06/07/2023 02:12:53 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, 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
05/09/2023 and conducted by Evaluator Anomeh Eivazian
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230509090309
FACILITY NAME:MELKONYAN FAMILY CHILD CAREFACILITY NUMBER:
198020210
ADMINISTRATOR:ELAIDA MELKONYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 424-5192
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:14CENSUS: 8DATE:
06/07/2023
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Elaida Melkonyan, LicenseeTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Licensee slapped a daycare child while in care
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 the complaint finding. LPA arrived at 10:30 a.m. on 06/07/2023 and met with Elaida Melkonyan, Licensee who guided analyst on a tour of the facility. During this inspection there were 8 children present in the facility. Also, Sona Karapetyan and Susanna Tonoyan, licensee’s assistants were present in the facility.

During this investigation, LPA Eivazian conducted interviews with complainant, licensee, two staff, two parents and two children.

Based on an interview that was conducted with complainant, on 05/08/23 while children were playing in the living room (main daycare area), complainant observed staff#1 slapped child#1 on the face, child#1 cried.

REPORT CONTINUES ON NEXT PAGE 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
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 3
Control Number 33-CC-20230509090309
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: MELKONYAN FAMILY CHILD CARE
FACILITY NUMBER: 198020210
VISIT DATE: 06/07/2023
NARRATIVE
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Based on interviews that were conducted with child#1 and child#2, child#1 hit child#2 with a toy on the head, child#2 cried, staff#1 got angry on child#1, staff#1 slapped child#1 on the cheek with hand, child#1 cried.

Based on interviews that were conducted with licensee and two staff, on 05/08/23 when children were in the living room (main daycare area) playing, child#1 hit child #2 with a toy, child#2 cried and screamed, child#1 got scared and put two hands on cheeks. Staff#1 went to child#1 and attempted to assist child#1 not to put hands on cheeks. Per licensee and two staff, staff#1 did not hit child#1.

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, 102423(a)(4)—Personal Rights--To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning is being cited on the attached LIC9099D.



LPA Anomeh Eivazian informed licensee, Elaida Melkonyan that this report dated 06/07/2023 document(s) 1 of Type A citation. Type A citation which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Anomeh Eivazian informed the licensee, Elaida Melkonyan to provide a copy of this licensing report dated 06/07/2023 that documents 1 Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the licensee, Elaida Melkonyan at 11:40 AM..


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: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20230509090309
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: MELKONYAN FAMILY CHILD CARE
FACILITY NUMBER: 198020210
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/08/2023
Section Cited
CCR
102423(a)(4)
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Personal Rights--To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, etc...
This requirement was not met as evidenced by...
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Per licensee, my daycare children are in a safe environment and I did not hurt them, however I will ensure to use redirection, talking and explaining to children if they misbehave.
A written plan will be submitted to LPA by plan of correction due date.
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Based on interviews that were conducted with complainant, child#1 and child#2, staff#1 was observed to slap child#1 on 05/08/23.

This poses an immediate health, safety, and personal right risk to the 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) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3