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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191224046
Report Date: 12/20/2021
Date Signed: 12/20/2021 05:09:52 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/14/2021 and conducted by Evaluator Liana Stepanyan
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20211214142011
FACILITY NAME:VERDUGO HILLS FAMILY YMCAFACILITY NUMBER:
191224046
ADMINISTRATOR:SUZANNE MCMILLENFACILITY TYPE:
850
ADDRESS:6840 FOOTHILL BOULEVARDTELEPHONE:
(818) 352-3255
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY:68CENSUS: 27DATE:
12/20/2021
UNANNOUNCEDTIME BEGAN:
01:57 PM
MET WITH:Chelsea LawrenceTIME COMPLETED:
05:13 PM
ALLEGATION(S):
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Personal Rights- Staff #1 handled child inappropriately
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Liana Stepanyan and Licensing Program Manager (LPM) Mariela Ramon conducted an investigation on 12/20/21 at 2:00PM. LPA and LPM met and conducted facility tour with Director Chelsea Lawrence. Upon arrival, LPA Stepanyan and LPM Ramon observed 27 children napping with 4 staff providing care and supervision. The investigation of the above allegation consisted of children and staff interviews including LPA and LPM observations. LPA obtained copy of the current facility roster.

Based on interviews conducted with children and staff, it was revealed staff #1 is very caring, no one witnessed staff #1 handling a child in a rough manner or speaking to any child in a rude tone. Based on observations/interviews the allegation is rendered unsubstantiated. There is not a preponderance of evidence to prove the above allegation. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred. An exit interview was conducted, a copy of this report, and notice of site visit was provided to the Director along with appeal rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/14/2021 and conducted by Evaluator Liana Stepanyan
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20211214142011

FACILITY NAME:VERDUGO HILLS FAMILY YMCAFACILITY NUMBER:
191224046
ADMINISTRATOR:SUZANNE MCMILLENFACILITY TYPE:
850
ADDRESS:6840 FOOTHILL BOULEVARDTELEPHONE:
(818) 352-3255
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY:68CENSUS: 27DATE:
12/20/2021
UNANNOUNCEDTIME BEGAN:
01:57 PM
MET WITH:Chelsea LawrenceTIME COMPLETED:
05:13 PM
ALLEGATION(S):
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2
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4
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9
Physical Plant - Facility has rodents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Liana Stepanyan and Licensing Program Manager (LPM) Mariela Ramon conducted an investigation on 12/20/21 at 2:00PM. LPA and LPM met and conducted facility tour with Director Chelsea Lawrence. Upon arrival, LPA Stepanyan and LPM Ramon observed 27 children napping with 4 staff providing care and supervision. The investigation of the above allegation consisted of children and staff interviews including LPA and LPM observations. LPA obtained copy of the current facility roster.

LPA and LPM did not observe rodent droppings in the classroom, kitchen, and out play area. During interviews it was disclosed that there is rodents in the outdoor play area. Interviews reveal more than one rodents had been seen on the premises, specifically in the outdoor play area at night. Facility is working with a professional pest control company to remedy this problem. Per Director, pest control company conducts inspections twice a month as a prevenative measure used throughout the year. LPA obtained a copy of the monthly statements from the pest control comany. Please see complaint investigation report LIC 9099C for additional information.



Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 12-CC-20211214142011
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: VERDUGO HILLS FAMILY YMCA
FACILITY NUMBER: 191224046
VISIT DATE: 12/20/2021
NARRATIVE
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Based on the evidence obtained, the allegation of rodents in the facility is substantiated.

Facility was cited a type B deficiency, see complaint investigation report LIC 9099D for citation.

An exit interview was conducted, a copy of this report, and notice of site visit was provided to the Director along with appeal rights.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 12-CC-20211214142011
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: VERDUGO HILLS FAMILY YMCA
FACILITY NUMBER: 191224046
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/03/2022
Section Cited
CCR
101238(a)(1)
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Buildings and Grounds: The facility has rodents on the premises. According to Title 22 Regulations, the licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement was not met as evidence by interviews conducted revealed rodents have been observed in the outdoor play area mostly at night.
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The preschool will be closing for the last week of December 2021 for a deep cleaning. The facility has already taken corrective measures to ensure there are not rodents in the facility. A pest management service has been hired to clear and remove the rodents.
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This is a type B deficiency that if not corrected poses a potential risk to the health and safety of children 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.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4