Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019499
Report Date: 09/13/2019
Date Signed: 09/13/2019 01:56:07 PM


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
07/26/2019 and conducted by Evaluator Janeth Chavez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20190726082624
FACILITY NAME:PLAY PRESCHOOLFACILITY NUMBER:
198019499
ADMINISTRATOR:GABRIEL ROSSFACILITY TYPE:
830
ADDRESS:2828 GLENDALE BLVDTELEPHONE:
(323) 664-8494
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:50CENSUS: 21DATE:
09/13/2019
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Annie Gekozyan, AssistantTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Facility staff handled child in a rough manner.
Facility staff yelled at child in care.
Facility operates out of ratio
Facility has mold in the refrigerator
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Janeth Chavez conducted an unannounced inspection regarding the above complaint allegations and to deliver findings. LPA met with Annie Gekozyan, Assistant Director, and toured the facility to take census of the children present. There are 21 infants present with 6 staff. Teacher-child ratio met.

The reporting party stated that Staff #2 dragged Child #3 by the hand before being yelled at by Staff #2. Also, that the facility has mold in the refrigerators which are used to store food and bottles for the infants. Reporting party stated that there are 3 staff in the infant room that care for 18 infants. During the course of the investigation interviews were conducted with staff, day-care parents but no disclosures were made. Staff #2 denied all allegations of dragging Child#3 by the hand and yelling at Child#3. During LPAs inspection the refrigerators in the two infant classrooms were clean and free of mold. Also, during LPAs inspection the facility was operating within ratio. Based on information received and reviewed for the date in question, it cannot be determined if the facility was operating out of ratio at any given time during the hours of operation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3417
LICENSING EVALUATOR NAME: Janeth ChavezTELEPHONE: (323) 981-3376
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019
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 2
Control Number 33-CC-20190726082624
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: PLAY PRESCHOOL
FACILITY NUMBER: 198019499
VISIT DATE: 09/13/2019
NARRATIVE
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Based on the investigation conducted by the Department the allegations that, Facility staff handled child in a rough manner, Facility staff yelled at child in care, Facility operates out of ratio, Facility has mold in the refrigerator are UNSUBSTANTIATED. Therefore, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated.

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 was conducted with Annie Gekozyan, Assistant Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3417
LICENSING EVALUATOR NAME: Janeth ChavezTELEPHONE: (323) 981-3376
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2