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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401067
Report Date: 03/23/2021
Date Signed: 03/23/2021 11:52:45 AM

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:YMCA OF METROPOLITAN OF L.A. GARDENA/CARSON BR.FACILITY NUMBER:
197401067
ADMINISTRATOR:CHARREL CRYERFACILITY TYPE:
850
ADDRESS:1000 W. ARTESIA BLVDTELEPHONE:
(310) 879-6673
CITY:GARDENASTATE: CAZIP CODE:
90248
CAPACITY:45CENSUS: 16DATE:
03/23/2021
TYPE OF VISIT:Case Management - COVID-19ANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Christoher JeffersonTIME COMPLETED:
11:50 AM
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On 3/23/2021 at 11:00 AM, Licensing Program Analyst (LPA), Lillian Casillas conducted a virtual inspection with Christopher Jefferson, Vice President of YMCA via FaceTime. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children. Due to the COVID-19 State of Emergency, a Licensed Child Care Center Emergency Waiver was granted on 3/18/2021 for the facility to care for 12 children, ages 2 to 5 years old, from 8:00am to 6:00pm, Monday through Friday. Children will stay within the same cohort of no more than 14 children and will not commingle with other children. Children will participate in remote learning.

The facility will utilize 1 unlicensed classroom for childcare: group exercise studio.

Check-in will take place at a gate in front of the playground. The gate requires a code to enter/exit, making it inaccessible to children without the help of staff. Parents do not enter pass the check-in table. The check-in table includes hand sanitizer, masks, tissue, clean pens, and individual sign-in/sign-out sheets. LPA observed a parent board with all required documents by Community Care Licensing. Staff conducts a wellness check and takes the temperature of each child upon arrival. Staff documents the wellness check in the Well-Check Form used by all YMCA locations. If a child develops COVID-19 symptoms during the day, the child will rest outside in the playground or in the vacant office, which includes tables, chairs, and windows for staff to supervise the child safely The Department of Public Health will be contacted in regard to any COVID-19 illness.

In the Group Exercise Studio, LPA observed 6 tables, cubbies, a children's sofa, and a children's play area. This room is large. LPA also observed 2 fire alarms, and a fire sprinkler alarm system. Children are seated 2 to a table unless they are siblings.

[CONTINUE ON PAGE 2]
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: YMCA OF METROPOLITAN OF L.A. GARDENA/CARSON BR.
FACILITY NUMBER: 197401067
VISIT DATE: 03/23/2021
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The bathroom for the unlicensed classroom and the isolation room is located in the family locker room, which is located in the YMCA area. In the family locker room, LPA observed 2 private toilets and 3 sinks. Christopher Jefferson will send a statement with a plan of how the facility will escort children to the family locker room bathroom as well as how the facility will disinfect the bathroom if/when a sick child uses it.

The outdoor area is large and holds a playground that is completely fenced and shaded as well as 4 picnic tables. The water fountains in the playground are not in use.

The pool is located next to the family locker room and is always locked and inaccessible to children. Christopher Jefferson will send a statement regarding the inaccessibility of the pool.

There is a fire extinguisher in the licensed classroom and another in the free weight room, which flank the group exercise studio.

Children eat lunch at their desks. Children bring their own lunch and water bottles. The facility provides a morning and afternoon snack.

LPA Casillas discussed the terms and conditions of the waiver. Facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the El Segundo Child Care Office at (424) 301-3077.



An exit interview was conducted on 3/23/2021 at 11:50 AM. A copy of this report was sent via email to Christopher Jefferson who replied to this email in lieu of a signature.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2021
LIC809 (FAS) - (06/04)
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