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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019932
Report Date: 03/20/2023
Date Signed: 03/20/2023 05:21:55 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
03/10/2023 and conducted by Evaluator Judy Mora
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230310131827

FACILITY NAME:MAYILYAN FAMILY CHILD CAREFACILITY NUMBER:
198019932
ADMINISTRATOR:TARON MAYILYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 749-1188
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:14CENSUS: 14DATE:
03/20/2023
ANNOUNCEDTIME BEGAN:
01:52 PM
MET WITH:Taron Mayilyan TIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staffing & Ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analy st (LPA) Judy Mora and Licensing Program Manager (LPM) Claudia Guangorena conducted an unannounced site inspection on this date to investigate the above complaint allegation. Licensing staff met with, Marine Adamyen, Licensee, who guided licensing staff on a tour of the facility. CTS Language Link was used as the Licensee’s Assistant and children speak Armenian. Two translators were used, Ghahramanyan #15348 and Colette #8919. Licensing staff were not immediately let into the home and were asked to wait outside for 3 minutes. Licensee, Taron Mayilyan, arrived at approximately 2:20 PM.

Upon arrival, at approximately 1:55 PM, Licensing staff observed that there were 14 children present with Ms. Marine. There were five children present in the living room and nine children were in a bedroom napping. There was no other adult present in the home. This placed the facility out of ratio.

During the course of this inspection Interviews were conducted with Licensee's assistants and children. Licensing staff reviewed and obtained copies of the facility roster. Children's files were reviewed.

*REPORT CONTINUES ON NEXT PAGE
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 7 of 10
Control Number 33-CC-20230310131827
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: MAYILYAN FAMILY CHILD CARE
FACILITY NUMBER: 198019932
VISIT DATE: 03/20/2023
NARRATIVE
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Based on the available information, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be Substantiated. California Code of Regulations,(Title 22, Division 12 & Chapter Number 6), are being cited on the attached LIC. 9099D.This poses an immediate Health and Safety risk to clients in care.

Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted with Taron Mayilyan, Licensee. Appeal Rights were explained and provided to the Licensee during this visit.

*END OF REPORT- PLEASE SEE ATTACHED LIC 9099D
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023
LIC9099 (FAS) - (06/04)
Page: 8 of 10
Control Number 33-CC-20230310131827
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: MAYILYAN FAMILY CHILD CARE
FACILITY NUMBER: 198019932
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/21/2023
Section Cited
CCR
102416.5(e)
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Staffing Ratio and Capacity
If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as Staffing Ratio and
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Licensee states he will try to have another assistant or change the sxhedule of one of the assistant's. Licensee states he will save errands for after hours or weekends. Licensee will send this by POC due date of 03/21/23.
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Capacity speccified in subsections (b) and (c).
This requirement was not met as evidenced by visual observation of licensing staff. At the time of arrival at approximately 1:52 PM licensing staff obseved LIcensee's Assistant, Marine Adamyan alone with 14 children present, five were in the living room and nine were in a bedroom napping. This is an immediate risk to the health and safety of 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.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023
LIC9099 (FAS) - (06/04)
Page: 9 of 10