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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197495413
Report Date: 02/27/2025
Date Signed: 02/28/2025 08:43:11 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 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
02/21/2025 and conducted by Evaluator Cristina Castellanos
COMPLAINT CONTROL NUMBER: 30-CC-20250221103317
FACILITY NAME:WORLDSPEAK PICO INTERNATIONAL PRESCHOOLFACILITY NUMBER:
197495413
ADMINISTRATOR:DR. KRISTINE VARDANYANFACILITY TYPE:
860
ADDRESS:10747 W. PICO BLVDTELEPHONE:
(323) 356-8531
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY:60CENSUS: 20DATE:
02/27/2025
UNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:Angelika Getmanchouk - LicenseeTIME COMPLETED:
04:35 PM
ALLEGATION(S):
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Record Keeping: Staff do not ensure that child records are complete
INVESTIGATION FINDINGS:
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On 02/27/2025 Licensing Program Analyst (LPA) Cristina Castellanos and LPA Judy Laureano arrived at the above-mentioned facility for the purpose of investigating the above-mentioned allegation. LPAs Castellanos and Laureano met with Licensee Angelika Getmanchouk and discussed the purpose of the visit. LPA Castellanos toured the facility and observed twenty (20) children in care with two (2) adult staff providing care and supervision during nap time.

During the investigation, LPAs Castellanos and Laureano received and reviewed the following document: children’s records.

Per LPAs record review it was found that six (6) out of ten (10) children’s files were incomplete; Physician’s Report LIC701 not available for review. Based on LPAs record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
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 3
Control Number 30-CC-20250221103317
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WORLDSPEAK PICO INTERNATIONAL PRESCHOOL
FACILITY NUMBER: 197495413
VISIT DATE: 02/27/2025
NARRATIVE
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There was one deficiency cited during today’s visit in accordance with the California Code of Regulations, Title 22, Division 12, and Chapter 1. See LIC 9099-D for additional information.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and Plan of Correction was reviewed and developed with the Licensee Angelika Getmanchouck. A copy of this report and appeal rights were discussed and left with the Licensee, whose signature on this form confirm receipt of these documents.




















Page 2
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20250221103317
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: WORLDSPEAK PICO INTERNATIONAL PRESCHOOL
FACILITY NUMBER: 197495413
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2025
Section Cited
CCR
101221(b)(8)
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101221(b)(8) Child's Records (b) Each record shall contain information including, but not limited to, the following: (8) Medical assessment, including ambulatory status as specified in Section 101220, and the following health information:
This requirement is not met as evidenced by:
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Licensee agrees to submit proof of completion of LIC701 to LPA via email by POC due date.
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Based on LPAs record review 6 out of 10 children’s files were incomplete; Physician’s Report LIC701 not available for review, which poses/posed a potential health, safety or personal rights risk to persons 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: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3