<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198015362
Report Date: 03/24/2023
Date Signed: 03/24/2023 02:15:36 PM

Substantiated


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
03/10/2023 and conducted by Evaluator Anomeh Eivazian
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230310081529
FACILITY NAME:KIDS PLANET CHILD CARE CENTERFACILITY NUMBER:
198015362
ADMINISTRATOR:SYUZANNA KHUDOYANFACILITY TYPE:
850
ADDRESS:714 SOUTH GLENDALE AVENUETELEPHONE:
(818) 545-3787
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:70CENSUS: 46DATE:
03/24/2023
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Syuzanna Khudoyan, DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility did not provide parents with Type A citation report as required
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced complaint inspection to the above facility for the purpose of delivering the complaint finding. LPA arrived at 12:40 p.m. on 03/24/23 and met with Syuzanna Khudoyan, director who guided analyst on a tour of the facility. During this inspection there were 46 preschoolers present in the facility napping in four classrooms. LPA observed seven staff were present in the facility during this inspection.

During this investigation, LPA Eivazian conducted an interview with director. LPA obtained a copy of facility current roster. LPA took pictures from parent board located in the main entrance hallway.

Based on an interview that was conducted with director on 03/20/2023, currently there are 52 children enrolled in the program, and 9 current parents did not receive 03/01/2023 report.

REPORT CONTINUES ON NEXT PAGE 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023
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 5
Control Number 33-CC-20230310081529
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: KIDS PLANET CHILD CARE CENTER
FACILITY NUMBER: 198015362
VISIT DATE: 03/24/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on LPA Eivazian observations and children file reviews, 9 children were missing Acknowledgment of Receipt of Licensing form (LIC 9224) for 03/01/2023 report.

Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been meet, therefore the above allegation is found to be Substantiated at this time. Health and Safety Code 1596.8595 (c ) (1)-- A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph (1) of subdivision (a) of Section 1596.893b is being cited on the attached LIC9099D.

The notice of site visit was posted where the parent/guardian of children enter and exit the facility. This notice shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.



Exit interview was conducted with Director, Syuzanna Khudoyan at 2:30 p.m..
REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20230310081529
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: KIDS PLANET CHILD CARE CENTER
FACILITY NUMBER: 198015362
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/24/2023
Section Cited
HSC
1596.8595(c)(1)
1
2
3
4
5
6
7
Posting licensing report by child care facility or home; duration of posting; civil penalty for failure to comply; reports to be provided to parents or guardian of each child receiving services, etc...
This requirement was not met as evidenced by...
1
2
3
4
5
6
7
Per director, after 03/20/23 inspection, all 9 parents received 03/01/23 report and director obtained Acknowledgment of Receipt of Licensing form (LIC 9224).
A written declaration will be submitted to LPA by plan of correction due date 04/24/23.
8
9
10
11
12
13
14
Based on an interview that was conducted with director on 03/20/23 and LPA's children file review, 9 current parent did not receive 03/01/23 Type A citation report.
This poses a potential health, safety, and personal right risks to the children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5