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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018354
Report Date: 10/20/2021
Date Signed: 10/20/2021 10:41:08 AM

Unsubstantiated


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
08/05/2021 and conducted by Evaluator Nolan Tcheng
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210805134405
FACILITY NAME:BEYOND OUR DREAMS INFANT CARE & PRE-SCHOOL,INCFACILITY NUMBER:
198018354
ADMINISTRATOR:KOUYOUMDJIAN, HASMIGFACILITY TYPE:
830
ADDRESS:416 N. ALTADENA DRIVETELEPHONE:
(626) 219-6277
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY:24CENSUS: 16DATE:
10/20/2021
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Jasmine Kouyoumdjian - DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Personal Rights
Ratio
Lack of Supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced in person inspection to deliver complaint findings for the above allegations. Upon arrival at 9:25am, LPA was met by Director Jasmine Kouyoumdjian, to whom the purpose of the inspection was provided. LPA was provided a tour of the facility at 9:32am.

Census was taken. There were 3 children and 2 staff in Monkey Room, 6 children and 2 staff in Tree Room, and 7 children and 2 staff in Tigger Room.

Throughout the course of the investigation, Interviews were conducted with six staff members, six parents, and one adult. Documentation in the form of Child Care Facility Roster, Children Sign in and out sheets, Parent Handbook, Director Notes, Doctor’s Notes for two staff, Employee Handbook, Parent Handbook for Infant and Toddler Programs, Personnel Report, Calendar pages noting Hourly Staff members, and Screenshots of Text Conversations were obtained. REPORT CONTINUES PAGE 1 of 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
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 33-CC-20210805134405
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: BEYOND OUR DREAMS INFANT CARE & PRE-SCHOOL,INC
FACILITY NUMBER: 198018354
VISIT DATE: 10/20/2021
NARRATIVE
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Information from the complainant indicates that Staff #2 at the facility mishandled day-care child in a rough manner and that Staff #2 left a day-care child outside without supervision for a long period of time as a means of punishment. Per complainant, the facility does not adhere to teacher-child ratio for their component.

Director states that they have not witnessed any staff member handling a day-care child in a rough or inappropriate manner. Director has not had to speak to any staff member regarding how they discipline children at the facility. When asked by licensing staff what the appropriate teacher-child ratio was, director stated 1 to 4 for infants and 1 to 6 for toddlers. Per director, they are never out of ratio. Licensing staff observed appropriate ratio during inspections.

Children were unable to be interviewed during course of investigation due to being nonverbal age.

Staff interviewed made no disclosures about the above allegations.

Parents interviewed made no disclosures about the above allegations.

Interviews with other adults involved with the investigation made no disclosures regarding the above allegations.

Based upon the evidence as presented above, this agency has investigated the allegation above and has determined that the allegation is Unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies are being cited for the allegations listed above

Exit interview was conducted with Director Jasmine Kouyoumdjian, at 10:50am, including, but not limited to Provider Rights, Appeal Procedures and Agency’s Consultative Role.



The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

END OF REPORT PAGE 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2