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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494319
Report Date: 09/16/2022
Date Signed: 09/16/2022 01:28:04 PM

Document Has Been Signed on 09/16/2022 01:28 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:OGANESYAN FAMILY CHILD CAREFACILITY NUMBER:
197494319
ADMINISTRATOR:ANAHIT OGANESYANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 468-9433
CITY:VALLEY GLENSTATE: CAZIP CODE:
91401
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 1DATE:
09/16/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Anahit OganesyanTIME COMPLETED:
01:45 PM
NARRATIVE
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On 09/16/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced visit at this facility for the purpose of delivering the investigation findings regarding the incident that occurred at the facility on 04/22/2022. Upon arrival, LPA met with Licensee, Anahit Oganesyan and observed 1 children.

The Department received the Unusual Incident Report (UIR) via phone call on 04/25/2022. According to the report, on 04/22/2022 at approximately 05:30 PM, Licensee’s husband attempted to put a leash on the dog. The dog started barking and the leash slipped and the dog bit child’s hand and back. The child had puncture wounds on left hand and back. Licensee stated she put ice and placed alcohol on wounds. Licensee contacted the child’s mother and child was taken to the hospital.

On 5/5/2022 a Case Management visit was conducted regarding the UIR submitted on 04/25/2022. During this visit, LPA observed 1 child being supervised by Licensee. LPA interviewed Licensee and obtained the following documents: Licensee's written Declaration form, Child Care Facility Roster (LIC 9040), and vaccination records for the French Bulldog and Chihuahua Mix. LPA also toured the backyard and other areas that are accessible to day care children. Further investigation was needed.

The incident was forwarded to the Department’s Investigation Bureau (IB) and it was subsequently investigated by Investigator Olivia Spindola who conducted interviews and obtained medical reports. Based on the available information obtained throughout the investigation, it was revealed that Licensee failed to provide proper care and supervision and violated child’s personal rights when the licensee’s husband brought the dog out from an enclosed space and to an outdoor space where children were playing. As a result, the child sustained serious bites and puncture wound injuries while in care. Furthermore, Licensee did not seek medical treatment or call 911 at the time of the incident.

[CONTINUE ON PAGE 2]
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE: DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: OGANESYAN FAMILY CHILD CARE
FACILITY NUMBER: 197494319
VISIT DATE: 09/16/2022
NARRATIVE
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The facility was issued two Type A citations in violation of 102423 (a)(2) Personal Rights. See LIC 809-D for deficiency page.
A Civil Penalty Assessment (Immediate for Type A deficiency that resulted in Serious Injury)
in the amount of $2,000 shall be assessed today, 09/16/2022.

Licensee was informed that a Supervisory Conference will be scheduled with the El Segundo Child Care North Regional Office.

Upon receipt of the Type A Violation(s), licensee shall post the report for 30 days in addition to the Notice of Site Visit, provide copies of the licensing report to parents/guardians of children in care at the facility and obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file by the close of business the following day or the next day child returns to the facility. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. The Licensee was provided an LIC 9224 and informed to print additional copies from the CCL website.

An exit interview was conducted and a copy of this report was provided along with LIC 9213 Notice of Site Visi and Appeal Rights to Licensee, Anahit Oganesyan.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/16/2022 01:28 PM - It Cannot Be Edited


Created By: Lillian J Casillas On 09/16/2022 at 09:44 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: OGANESYAN FAMILY CHILD CARE
FACILITY NUMBER: 197494319

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/16/2022
Section Cited
CCR
102423(a)(2)

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102423 (a)(2) Personal Rights. To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidenced by:
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Licensee will provide a written declaration and a plan on how to ensure that the dog will be inaccessible and isolated away from day care children by 9/23/2022. Licensee will enroll in a class on how to how to properly respond to injury and illnesses in day care setting.
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On 04/22/2022, licensee violated child’s personal rights by failing to provide proper care and supervision resulting in a child sustaining serious dog bites and puncture wounds injuries while in care. This is a Type A citation and poses an immediate risk to the children in care.
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The Department will schedule a Supervisory Conference to further speak with Licensee Anahit Oganesyan to ensure that this type of incident does not occur in the future.

Type A
09/16/2022
Section Cited
CCR102423(a)(2)

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102423 (a)(2) Personal Rights. To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidenced by:
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Licensee will provide written declaration on how to properly assess injuries and immediately seek medical attention for injuries needing medical attention by 9/23/2022.
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On 04/22/2022, Licensee did not seek immediate medical attention nor call 911 following an injury sustained by child in care, including serious dog bites and puncture wounds, which poses an immediate 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.
SUPERVISOR'S NAME:Maureen Neal
LICENSING EVALUATOR NAME:Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:
DATE: 09/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/16/2022


LIC809 (FAS) - (06/04)
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