198017013-5-12-2021-54-CC-KCHS-C3E73H-20210526211822

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198017013
Report Date: 05/12/2021
Date Signed: 05/12/2021 03:19:48 PM

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 CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/05/2021 and conducted by Evaluator Elka Chavez

COMPLAINT CONTROL NUMBER: 54-CC-20210305100901

FACILITY NAME:	YMCA OF GLB LOS CERRITOS BRANCH		FACILITY NUMBER:	198017013
ADMINISTRATOR:	JANSSEN, MICHELE		FACILITY TYPE:	840
ADDRESS:	15530 WOODRUFF AVENUE		TELEPHONE:	(562) 925-1292
CITY:	BELLFLOWER	STATE: CA	ZIP CODE:	90706
CAPACITY:	80	CENSUS: 42	DATE:	05/12/2021
		UNANNOUNCED	TIME BEGAN:	01:36 PM
MET WITH:	Michele Janssen		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Day care staff speak inappropriately to day care kids.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elka Chavez, conducted an unannounced inspection to conclude the above pending allegation. Due to COVID-19 and precautionary measures the inspection was conducted virtually by use of FaceTime with director, Michele Janssen.

During the course of the investigation, LPA conducted several interviews with staff, parents and children. There were no disclosures made during any interview to corroborate with the above allegation. Although the allegation may have happened or is valid there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted with director, Michele Janssen via tele-inspection, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the director via email with a read receipt or confirmation of receipt of email, which will act as the director’s signature.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2021

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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