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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197495014
Report Date: 08/10/2022
Date Signed: 08/10/2022 02:16:19 PM

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
06/23/2022 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220623083119
FACILITY NAME:POGHOSYAN FAMILY CHILD CAREFACILITY NUMBER:
197495014
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
08/10/2022
UNANNOUNCEDTIME BEGAN:
01:24 PM
MET WITH:Nune Poghosyan, LicenseeTIME COMPLETED:
02:25 PM
ALLEGATION(S):
1
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9
1)Personal Rights: Provider hit minor while in care resulting in injury.
2) Personal Rights: Provider engaged in a physical and verbal altercation with another adult in home in the presence of minor.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
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13
On 08/10/2022 at 1:20 pm, Licensing Program Analyst (LPA) Silva Garibyan arrived at Poghosyan FCCH to deliver the findings of the complaint investigation. The complaint was received on 06/23/2022. LPA met with Nune Poghosyan, who guided the LPA on a tour of the facility. LPA explained the reason for the visit. Upon arrival LPA observed no children in care.
Based upon the evidence obtained through the course of reviewing documentations and interviews, there is insufficient evidence to support or disprove that Provider hit minor while in care resulting in injury and Provider engaged in a physical and verbal altercation with another adult in home in the presence of minor. Therefore, this allegations have been 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 alleged violations occurred.
An exit interview was conducted and a copy of this report was provided..
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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