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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 10:43:24 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
08/02/2021 and conducted by Evaluator Nolan Tcheng
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210802171151
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 Kouyoumbjian - DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Personal Rights
Lack of Supervision
Personal Rights
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 allegation. 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 and six parents. Documentation in the form of Child Care Facility Roster, Children Sign in and out sheets, Parent Handbook, Director Notes, Employee Handbook, Parent Handbook for Infant and Toddler Programs, and Personnel Report 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-20210802171151
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 is rough with the children and yells at the children in care. Per complainant, children are left unattended and not cared for when they are crying.

Director states that they have not witnessed any staff member handling a day-care child in a rough manner or speaking to children in a mean or inappropriate way. Director has not had to speak to any staff member regarding how they discipline children at the facility. Per director, if a child is crying, staff makes sure to comfort the child and says they give the child “100% care.”

Staff interviews made no disclosures regarding the above allegations.

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

Parent interviews 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