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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610495
Report Date: 08/15/2024
Date Signed: 08/15/2024 03:37:41 PM

Document Has Been Signed on 08/15/2024 03:37 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:ROSSMOYNE HILLSFACILITY NUMBER:
197610495
ADMINISTRATOR/
DIRECTOR:		AVETISYAN, ARMINEFACILITY TYPE:
740
ADDRESS:1227 CAMPBELL STREETTELEPHONE:
(747) 324-6116
CITY:GLENDALESTATE: CAZIP CODE:
91207
CAPACITY: 6CENSUS: 4DATE:
08/15/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Kanarick Panosyan, CaregiverTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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At around 2:00 PM on 08/15/24, Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced visit. LPA met with caregiver, Kanarick Panosyan, and disclosed the reason for the visit.

During the course of investigating complaint # 31-AS-20240807095448, the caregiver contacted the administrator Armine Avetisyan and put her on speakerphone to speak with the LPA. LPA explained the allegations and the administrator got frustrated and started demanding information. LPA explained the allegations and that more information will be disclosed as it is an on-going investigation. The Administrator then began shouting to the caregiver, “call the police, call the police”. Moments later the police arrived at the facility and began to interrogate the LPA, asked for LPA’s badge and why LPA was at the facility. LPA fully cooperated with the police and explained the reason for the visit. The officers then explained to the LPA that the administrator contacted the police on behalf of the caregiver for their safety and the person who called stated they suspect LPA was falsifying identity, posing as a government agent.

The caregiver was informed that the administrator may be called in to the Woodland Hills South Regional Office for an informal meeting.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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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