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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494108
Report Date: 12/17/2021
Date Signed: 12/17/2021 12:37:41 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/20/2021 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20211020131131
FACILITY NAME:GALAXY KIDS ACADEMYFACILITY NUMBER:
197494108
ADMINISTRATOR:GEVORGYAN, ANAITFACILITY TYPE:
850
ADDRESS:6543 LANKERSHIM BLVDTELEPHONE:
(818) 929-6162
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY:60CENSUS: 41DATE:
12/17/2021
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Anait Gevorgyan/DirectorTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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9
1) Personal Rights------Staff was rude to daycare child.
2) Personal Rights-------Staff made child go to the bathroom in the dark
INVESTIGATION FINDINGS:
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13
On 12/17/2021 at 10:30 am, Licensing Program Analysts (LPA) Silva Garibyan conducted an unannounced complaint investigationfor the purpose of delivering the findings on the above allegations. LPA met with facility director, Samantha Kester , who guided LPA on a facility tour. Upon arrival LPA observed 41 children supervised by 6 qualified teachers at the time of the visit.
LPA observed the facility operating within proper capacity and ratios. LPA observed the children properly supervised. Based on information obtained, interviews conducted, and LPA's observations the allegations are 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 violations occurred.
Exit interview was conducted.
A copy of the report and appeal rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
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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