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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191203231
Report Date: 09/12/2019
Date Signed: 09/17/2019 02:01:42 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MID-VALLEY YMCA BRANCHFACILITY NUMBER:
191203231
ADMINISTRATOR:BESSY LOPEZFACILITY TYPE:
850
ADDRESS:6901 LENNOX AVENUETELEPHONE:
(818) 989-3800
CITY:VAN NUYSSTATE: CAZIP CODE:
91405
CAPACITY:45CENSUS: 39DATE:
09/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Claudia Valdes/Assistant directorTIME COMPLETED:
02:10 PM
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Licensing Program Analysts (LPAs), Silva Garibyan met with the Assistant Director, Claudia Valdes and conducted an Annual Random visit. LPA toured and inspected the preschool in accordance with the facility sketch on 09/12/2019 at 11:40 a.m. There were five teachers on the premises along with the director. Upon arrival, LPA observed children engaged in various activities (8 children in the classroom and 31 children on the playground) . LPA observed a total of 39 children present being supervised by 5 staff members. LPA verified that all adults have obtained criminal record clearances and are associated to the facility. Facility is operating within capacity limitations. There are no bodies of water on the premises during the visit. The facility consists of three classrooms. The facility operates from 7:00 am to 6:00 pm.

The following were observed during this visit:

1. Teacher/child ratio;
2. Care and supervision of children in care; teacher/child interaction;
3. Availability of drinking water to children both indoors and outdoor
Drinking water is available inside the classrooms in the form of a water pitcher and disposable cups. There is a water fountain for outdoor drinking water on the yard
4. Cleanliness of facility and children's toys/equipment; cushioning under outdoor equipment.
5. Cleanliness of bathrooms, operation of toilets and sinks.
The bathroom is located across the hall from the classrooms have 5 sinks and 5 functional toilets. Director is advised that the children must always be escorted to and from the bathroom area. At no time should a child be left unattended in a bathroom or any other room in the facility. LPA observed toilet paper, soap and paper towels readily available. .
6. Inaccessibility of chemicals and toxins to children in care;
Disinfectants and cleaning solutions were observed to be inaccessible to children.
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SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MID-VALLEY YMCA BRANCH
FACILITY NUMBER: 191203231
VISIT DATE: 09/12/2019
NARRATIVE
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7. Sign in/out sheets; postings; emergency disaster drill logs.
8. Storage of children's belongings/Napping equipment
There are cubbies for children's belongings used to store personal items. LPA observed a sufficient quantity of mats and cots available for napping children. The bedding is stored separately and properly i
9. The director and all staff have current Pediatric CPR/First Aid training ( expire 07/31/2020).
10. Sample of children's files were reviewed for accuracy and completeness.
11. Sample of staff files were reviewed. Files were complete

Outdoor play equipment, bicycles and toys were observed to be in good condition. The outdoor yard consists of play structures, swings and various climbing structures, all securely mounted over sand. There is a cement area for bicycle play. There is adequate shade for the children in care. Fencing around the perimeter of the play area is at least 4 feet high. The isolation area is the director’s office and there is a mat available for the ill child. he facility provides snacks only. Children bring their own lunches. Food preparation area is not accessible to children in care. Snack menu is posted for parents to view Food preparation area is adequately equipped, clean and free from hazards. Cleaning supplies are out reach of children and is stored separately and away from food. There is adequate food for snacks. There is hot and cold running water in the kitchen/food preparation area. Refrigerators are clean and operating at the proper temperatures. Trash cans have lids


Prescription and non-prescription medication is administered by the director or the administrative assistant, who documents the date, time and dosage onto a log. Medications are stored securely and inaccessible to children in the director's office.
The following was discussed:

Senate Bill 792: that prohibits a person from being employed or volunteering at a child care facility if he or she has not been immunized against influenza, pertussis and measles and Assembly Bill 290 (Alejo, Chapter 734, Statutes of 2013). Staff immunization records are up to date. Page 2 of 4
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MID-VALLEY YMCA BRANCH
FACILITY NUMBER: 191203231
VISIT DATE: 09/12/2019
NARRATIVE
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Licensee is advised that effective January 1 2012 only not flavored, unsweetened nonfat (fat free skim, 0%) or low-fat (1%) milk can be served to children. No beverages with added sweeteners can be served (this includes sodas, sweet teas, juice drinks with added sugars, flavored milks and diet drinks) A maximum of one serving (4-6 ounces for 1 to 6 year olds) of 100% juice will be allowed per day.

Licensee was reminded it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensee was also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations. Licensee was also made aware that the quarterly updates are also in Spanish.


On September 12, 2019, the facility has been found operating within substantial compliance per the California Health & Safety Code(s) and Title 22 Regulation(s).




A copy of this report was provided to the director and an exit interview was conducted.

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SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MID-VALLEY YMCA BRANCH
FACILITY NUMBER: 191203231
VISIT DATE: 09/12/2019
NARRATIVE
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AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com. .

New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016 personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.

Nutrition Requirement: Beginning January 1, 2016, AB 290 will require for each new license issued, at least one director or teacher at each child care center or family child care home to have at least one hour of training in the importance of childhood nutrition. This applies to anyone submitting a new application, relocating their facility, selling their facility or transferring their license. Please note this training cannot be completed online or by home study programs. The training must be taken from an Emergency Medical Services Authority (EMSA) approved training program OR an accredited college or university.

The assistant director was informed of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541


Email Address: childcareadvocatesprogram@dss.ca.gov
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SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4