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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494156
Report Date: 06/09/2022
Date Signed: 06/09/2022 03:14:15 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
12/07/2021 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20211207111550
FACILITY NAME:DRMOYAN FAMILY CHILD CAREFACILITY NUMBER:
197494156
ADMINISTRATOR:DRMOYAN, ANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 429-3793
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY:14CENSUS: 9DATE:
06/09/2022
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Anna Drmoyan, LicenseeTIME COMPLETED:
02:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights: Infant sustained skull fracture while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Silva Garibyan conducted a visit to the facility for the purpose of delivering the findings on the above allegation.

LPA Garibyan met with Anna Drmoyan, Licensee and toured the facility with her on June 9, 2022. Licensee was present with nine children (including three infants) and one assistant ( associated to the faciity). The investigation of the above allegation was conducted by Tiffany Brunelli, Investigator. Based upon the evidence obtained through the course of investigation which include observations at the facility, interview with relevant parties that were conducted by Investigator Brunelli there is insufficient evidence to support or disprove the above allegation. Therefore, these allegation has been determined 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 violation occurred.
An exit interview was conducted with the licensee and a copy of this report was provided along with the
Appeal Rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022
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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