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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493505
Report Date: 11/09/2022
Date Signed: 11/09/2022 11:31:46 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/24/2022 and conducted by Evaluator Suzette Ornelas
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20220824124552
FACILITY NAME:GRIGORYAN FAMILY CHILD CAREFACILITY NUMBER:
197493505
ADMINISTRATOR:GRIGORYAN, MARIAMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(747) 203-4937
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91403
CAPACITY:14CENSUS: 10DATE:
11/09/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mariam GrigoryanTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Personal Rights- Day care child was isolated from group activity
Licensee- Licensee is not present at facility 80% of day care operating hours
INVESTIGATION FINDINGS:
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On 11/09/2022 at 10:00am, Licensing Program Analyst (LPA) Suzette Ornelas and Licensing Program Manager (LPM) Lisa Rios conducted an unannounced visit for the purpose of delivering the findings for the above-mentioned allegations. LPA Ornelas and LPM Rios met with Mariam Grigoryan, Licensee. LPA and LPM toured the facility and observed 10 children in care being supervised by 2 staff.

During the course of the investigation, LPA Ornelas conducted interviews, obtained evidence and made observations in regard to the above allegations.

On 08/31/2022, LPA Ornelas conducted an unannounced visit at the Family Child Care Home (FCCH). LPA observed children in care engaged in different activities while interacting with staff and speaking freely to each other and teachers. LPA did not observe any children being isolated from group activities.
LPA Ornelas reviewed video evidence provided and observed all children sitting and engaging in an activity together.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
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 58-CC-20220824124552
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GRIGORYAN FAMILY CHILD CARE
FACILITY NUMBER: 197493505
VISIT DATE: 11/09/2022
NARRATIVE
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Children in care are reporting that they like their teachers and that they are nice. Parents are reporting that they have no concerns regarding the care and supervision that their children are receiving at the FCCH. Parents are reporting that their children are happy and like the FCCH. Parents are reporting that the licensee is present when dropping off and picking up their children.

Based on the evidence obtained over the course of the investigation, LPA Ornelas was unable to corroborate that the Allegations, (1) Day care child was isolated from group activity; (2) Licensee is not present at facility 80% of day care operating hours. Therefore, the allegation is determined Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation occurred.

An exit interview was conducted, and a copy of this report, appeal rights along with the Notice of Site Visit were provided to Mariam Grigoryan, licensee.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2