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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198021248
Report Date: 10/01/2024
Date Signed: 10/01/2024 10:56:55 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
08/23/2024 and conducted by Evaluator Anomeh Eivazian
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240823122957
FACILITY NAME:ZADOORIAN FAMILY CHILD CAREFACILITY NUMBER:
198021248
ADMINISTRATOR:ZADOORIAN, SILVANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 822-5814
CITY:GLENDALESTATE: CAZIP CODE:
91201
CAPACITY:14CENSUS: 11DATE:
10/01/2024
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Silvana Zadoorian, LicenseeTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff dumps food on children's head if meal is not eaten
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced complaint inspection to the above facility delivering above allegation finding. LPA arrived at 8:40 a.m. on 10/01/24. LPA met with Silvana Zadoorian, licensee who guided analyst on a tour of the facility. During this inspection 11 children were present in the home playing in the living room, three were infants. Also, Ofik Ellyassi, licensee’s assistant was present in the home.

During this investigation, LPA Eivazian conducted interviews with licensee, two assistants, three random parents and four children. LPA obtained a copy of facility current roster.

Based on interviews that were conduced with three random parents, no disclosures were made regarding above allegation and they did not have any concerns regarding this facility.

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: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024
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 5
Control Number 33-CC-20240823122957
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: ZADOORIAN FAMILY CHILD CARE
FACILITY NUMBER: 198021248
VISIT DATE: 10/01/2024
NARRATIVE
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Based on an interview that was conducted with staff#1, on 08/20/24, while staff#1 was on the lunch table with children, staff#1 asked child#3 "are you done with your food", at that time staff#1 pushed the food plate from one side of the table to the other side of the table where staff#2 was, and food fell down on the floor. Per staff#1, she wanted to give the food plate to staff#2 and pushed the plate on the table towards staff#2. Per staff#1, after she pushed the plate toward staff#2, food fell down on the floor, the food was rice and couple rice might dropped on child#1 and child#3's head.

Based on an interview that was conducted with staff#2, staff#1 and staff#2 were on the lunch table with children, staff#3 was in the kitchen, staff#1 pushed child#1's food plate from her side of the table towards staff#2 and it fell down on the floor, but not on the kids head.

Based on interviews that were conducted with Child#1 and Child#4, child#1 did not eat food and staff#1 dropped the food on child#1's head.

Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been meet, therefore the above allegation is found to be Substantiated at this time. Title 22 Regulations code 102423(a)(1)-- Personal Rights--(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons is being cited on the attached LIC9099D.

LPA Anomeh Eivazian informed licensee, Silvana Zadoorian that this report dated 10/01/24 documents 1 Type A citation. Type A citation which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Eivazian informed the licensee to provide a copy of this licensing report dated 10/01/24 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.


The notice of site visit was posted where the parent/guardian of children enter and exit the facility. This notice shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
Exit interview was conducted with licensee, Silvana Zadoorian at 10:30 AM.
REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20240823122957
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: ZADOORIAN FAMILY CHILD CARE
FACILITY NUMBER: 198021248
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/02/2024
Section Cited
CCR
102423(a)(1)
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102423(a)(1)-- Personal Rights-- (1) To be treated with dignity in his/her personal relationship with staff and other persons

This requirement was not met as evidenced by...
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Per licensee, she stated this incident did not occurred However, effective today licensee and staff will not push the food plate from one side of the table to the other side.
A written declaration will be submitted to LPA by 10/02/24.
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Based on interviews that were conducted with Child#1 and Child#4, child#1 did not eat food and staff#1 dropped the food on child#1's head.
This poses an immediate health, safety and personal right risk to the 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: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
08/23/2024 and conducted by Evaluator Anomeh Eivazian
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240823122957

FACILITY NAME:ZADOORIAN FAMILY CHILD CAREFACILITY NUMBER:
198021248
ADMINISTRATOR:ZADOORIAN, SILVANAFACILITY TYPE:
810
ADDRESS:1230 ALAMEDA AVE.TELEPHONE:
(818) 822-5814
CITY:GLENDALESTATE: CAZIP CODE:
91201
CAPACITY:11CENSUS: 11DATE:
10/01/2024
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Silvana Zadoorian, LicenseeTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff hit child with wooden spoon
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced complaint inspection to the above facility delivering above allegation finding. LPA arrived at 8:40 a.m. on 10/01/24. LPA met with Silvana Zadoorian, licensee who guided analyst on a tour of the facility. During this inspection 11 children were present in the home playing in the living room, three being infants. Also, Ofik Ellyassi, licensee’s assistant was present in the home.

During this investigation, LPA Eivazian conducted interviews with licensee, two assistants, three random parents and four children. LPA obtained a copy of facility current roster.

Based on interviews that were conducted with three random parents and four children, no disclosures were made regarding above allegation.

REPORT CONTINUES ON NEXT PAGE 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20240823122957
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: ZADOORIAN FAMILY CHILD CARE
FACILITY NUMBER: 198021248
VISIT DATE: 10/01/2024
NARRATIVE
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Based on interviews that were conducted with three staff, they only use wooden spoon around the children during baking class. Per staff#1, she uses wooden spoon during baking, a picture was shown to LPA from 08/13/24 that staff#1 was baking with children and staff#1 had a wooden spoon in her hand. Per staff interviews, they did not hit a child with wooden spoon.

The allegations may have happened or are valid, but there is not a preponderance of evidence to prove the alleged violations occurred, therefore the allegation is unsubstantiated at this time. The evidence scale is equal meaning the weight of convincing evidence to prove something happened is equal to and has just as much convincing weight that it did not happen.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Silvana Zadoorian, Licensee.

REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5