197403360-11-17-2020-12-CC-CBEL-BVNQVF-20201124113012

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197403360
Report Date: 11/17/2020
Date Signed: 11/17/2020 03:04:20 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
09/03/2020 and conducted by Evaluator Brigitte Tsutaoka

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20200903142621

FACILITY NAME:	YMCA METRO. L.A.-ANTELOPE VALLEY QUARTZ HILL SITE		FACILITY NUMBER:	197403360
ADMINISTRATOR:	CANDACE BEDNAR		FACILITY TYPE:	840
ADDRESS:	41820 50TH STREET WEST		TELEPHONE:	(661) 943-3303
CITY:	QUARTZ HILL	STATE: CA	ZIP CODE:	93536
CAPACITY:	105	CENSUS: 15	DATE:	11/17/2020
		UNANNOUNCED	TIME BEGAN:	01:34 PM
MET WITH:	Director Jessica Hernandez		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Allegation 1: Facility operating out of ratio.
Allegation 2: Unqualified staff providing supervision to daycare children.
Allegation 3: Staff not background cleared.

INVESTIGATION FINDINGS:

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On November 17, 2020, Licensing Program Analyst (LPA) Brigitte Tsutaoka spoke with Director Jessica Hernandez to deliver findings on the above allegations. As a COVID-19 safety precaution, LPA delieverd findings for the allegations over the phone.

During the inspection, LPA interviewed staff, children, parents, and other relevant parties. LPA obtained facility roster, reviewed children attendance schedules, and reviewed staff files. LPA conducted a record review on the Licensing Information System (LIS) to confirm facility associations. Based on the information obtained and the interviews conducted, the allegations are deemed UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations did or did not occur.

An exit interview was conducted, and a copy of this report was read and sent via email with read receipt (due to COVID-19). In addition, another copy will be certified mail to Director Jessica Hernandez.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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