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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020591
Report Date: 11/05/2021
Date Signed: 11/05/2021 11:48:57 AM

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
10/14/2021 and conducted by Evaluator Anomeh Eivazian
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20211014130630
FACILITY NAME:MELKUMYAN FAMILY CHILD CAREFACILITY NUMBER:
198020591
ADMINISTRATOR:SVETIK MELKUMYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 395-7471
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:14CENSUS: 5DATE:
11/05/2021
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Svetik Melkumyan, LicenseeTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Conduct Inimical
Reporting requirements
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Anomeh Eivazian contacted an unannounced complaint inspection to the above facility. LPA arrived at 10:00 a.m. on 11/05/2021 and met with Svetik Melkumyan, licensee who guided analyst on a tour of the facility. During this inspection also licensee’s daughter, Ashkhen Bakhshyan and Arppine Hovsepyan, licensee's assistant were present in the home. During this inspection there were xx children present in the facility.

During this investigation, LPA Eivazian conducted interviews with two Glendale Police Department detectives, licensee, licensee’s daughter, two neighbors, and random current parents. LPA obtained a copy of facility roster from licensee and three police reports from Glendale Police Department.

Based on detective’s interviews, on 09/21/2021 and 09/22/2021 between 12:00 p.m. to 5:00 p.m. they observed Aleksandr Seyranov, licensee’s son in-law enter and exit the facility when daycare children were present.
REPORT CONTINUES ON NEXT PAGE 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
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-20211014130630
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: MELKUMYAN FAMILY CHILD CARE
FACILITY NUMBER: 198020591
VISIT DATE: 11/05/2021
NARRATIVE
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Per detective’s interviews they observed parents to pick-up daycare children on 09/21/2021 around 5:00 p.m. and children were present in the home on 09/22/2021 when detectives went inside the facility. Per detective’s statement, Aleksandr Seyranov referred to facility address as his resident address. Per detective’s interviews, on 09/22/2021 twice during the contact with licensee’s daughter, Ashkhen Bakhshyan they stated that Aleksandr lived in the facility address and Ashkhen Bakhshyan did not deny it either time. Ashkhen Bakhshyan also pointed to two vehicles Aleksandr Seyranov had parked at the facility address indicating the vehicles belonged to Aleksandr. Per detective’s interviews, they observed Aleksandr Seyranov personal belongings in two bedrooms in the home. Per detectives, Aleksandr Seyranov got arrested twice in June 2021 and early September 2021.

Based on an interview that was conducted with Ashkhen Bakhshyan, licensee’s daughter on 09/28/2021, Aleksandr Seyranov does not live at this address and he comes to the facility when daycare children are not present in the home either early in the mornings or during the weekend. Per licensee, Svetik Melkumyan and Ashkhen Bakhshyan, licensee’s daughter, they did not know about Aleksandr Seyranov two prior arrests that occurred in June 2021 and early September 2021 and licensee never reported it to Community Care Licensing, Monterey Park Regional Office.

Based on LPA’s observation Aleksandr Seyranov has not been listed on Facility Application Form, LIC279.

Based on LPA’s observations and interviews which were conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated at this time. California Code of Regulations 102402 (a) (3) -- Revocation or Suspension of a License or Registration and 102416.2 (a) (2)-- Reporting Requirements are being cited on the attached LIC 9099d and



The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent.Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this inspection. Exit interview was conducted with Licensee, Svetik Melkumyan at 12:00 p.m., Appeal Rights procedures explained.
REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20211014130630
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: MELKUMYAN FAMILY CHILD CARE
FACILITY NUMBER: 198020591
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/05/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/08/2021
Section Cited
CCR
102402(a)(3)
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Revocation or Suspension of a License or Registration-- Conduct in the operation or maintenance of a family day care home which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California. This requirement was not met as evidenced by...
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On 11/05/2021 per licensee, Svetik Melkumyan she is fully understand that Alexandr Seyranov is not allowed to the facility at any times, even after daycare hours or during weekends. If at anytime he shows up at the daycare address he will not be allowed inside the home and licensee will contact the Glendale Police Department and Monterey Park Regional office.
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Based on interviews that were conducted with detectives, Aleksandr Seyranov referred to the facility address as his resident and detectives observed Aleksandr Seyranov's belonging in the facility on 09/22/2021 as well as his presence in the home. This is an immediate Health and Safety risk to the children in care.
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Per licensee's daughter, Ashkhen Bakhshyan, she has restraining order against Aleksandr Seyranov and she will keep LPA Eivazian updated everytime after court and once she has a address for Aleksandr Seryanov and Retaining order being served to him.
A written declaration will be submitted to LPA by plan of correction due date, 11/08/2021.
Type A
11/05/2021
Section Cited
CCR
102416.2(a)(2)
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102416.2(a)(2)--Reporting Requirements
Any change in household composition including adults moving in or out of the home and anyone living in the home who reaches his or her 18th birthday.
This requirement was not met as evidenced by…
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Per licensee, Svetik Melkumyan, from now on if any individual 18 years old and above moving in or out of the home will updated the facility application form LIC279 and submit all the requirements to the Regional office.
A written declaration will be submitted to LPA Eivazian by plan of correction due date 11/08/2021.
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Based on detective’s interviews, Aleksandr Seyranov referred to facility address as his resident. Detectives observed Aleksandr Seyranov's belongs in the facility, and present in the facility on 09/21/21 and 09/22/2021 while children were in care. This is an immediate Health and Safety risk to the children 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: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3