198019117-4-7-2022-33-CC-ACHO-CDDQCM-20220411120323

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019117
Report Date: 03/25/2022
Date Signed: 04/07/2022 09:36:15 AM

Substantiated

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/12/2022 and conducted by Evaluator Bardo Baluyot

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20220112121531

FACILITY NAME:	YMCA OF GREATER WHITTIER		FACILITY NUMBER:	198019117
ADMINISTRATOR:	SUSETTE SEPULVEDA		FACILITY TYPE:	850
ADDRESS:	12510 HADLEY ST.		TELEPHONE:	(562) 392-6119
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90601
CAPACITY:	42	CENSUS: 17	DATE:	03/25/2022
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Director, Brittany Wallace		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Childcare is operating over ratio

INVESTIGATION FINDINGS:

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-This is an amended report to reflect changes made to an original report first issued on 3/25/2022.

At approximately 9:45 AM, Licensing Program Analyst (LPA) Bardo Baluyot conducted an unannounced follow up inspection to present findings on the complaint allegation listed above. A COVID-19 risk assessment was conducted upon entering the facility. LPA met with Directors, Nicole Rodriguez and Brittany Wallace who guided the LPA on a tour of the facility. LPA observed nine (9) children in Room #1 with one staff and eight (8) children in Room #2 with one staff. LPA also observed the school age component operating with nineteen (19) children present with two staff. Per Directors, it is spring break for local schools. Required staff to children ratio was observed.

LPA conducted interviews with Directors and staff regarding the above allegations during the initial complaint visit and a subsequent visit. LPA also obtained documents, including, facility roster, sign-in sheets, transcripts of communication app used by staff.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

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 3

Control Number 33-CC-20220112121531

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: YMCA OF GREATER WHITTIER	FACILITY NUMBER: 198019117
	VISIT DATE: 03/25/2022

NARRATIVE

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This agency has investigated the complaint alleging that, “Childcare is operating over ratio”. Allegation regarding “Childcare is operating over ratio”: According to the allegation, Licensee had been operating over ratio beginning 12/24/2021. Reporting Party (RP) alleged that during specific times in the morning hours, one (1) staff member was observed to be caring for sixteen (16) children.

Through interviews conducted, LPA found corroborating statements that on several occasions, one staff was left to care for more than twelve (12) children in the morning hours. Sign-in sheets provided by director also revealed that on 1/3/22 Staff #5 was left to care for sixteen (16) children and on 1/6/22, Staff #6 was left to care for fourteen (14) children. Though ratio violations occurred for a short time in the morning hours, LPA's investigation concluded that Licensee failed to maintain ratios at all times. Therefore, this agency has investigated the complaint alleging “Childcare is operating over ratio” and have found that the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter Number 1), are being cited on the attached LIC. 9099D. One Type A deficiency was cited during today’s visit.

Upon receipt of this report documenting a Type A deficiency, the Licensee shall do the following:

1. Post the Notice of Site visit and any licensing report documenting a Type “A” deficiency.
2. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.
3. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year).
4. The Acknowledgement form (LIC 9224) must be maintained in each child’s file immediately upon receipt from parent. A copy of the parent Acknowledgement of Receipt of Licensing Reports Form was provided during this visit.

Exit interview was conducted with Director, Brittany Wallace including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 33-CC-20220112121531

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: YMCA OF GREATER WHITTIER	FACILITY NUMBER: 198019117
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/25/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/07/2022 Section Cited CCR 101216.3(a)	1 2 3 4 5 6 7	Teacher – Child Ratio. There shall be a ratio of one teacher supervising no more than 12 children in attendance except as specified in (b) and (c).	1 2 3 4 5 6 7	A written plan must be submitted by 4/8/22 to ensure there is a sufficient staff of 1 teacher per 12 children at all times.
	8 9 10 11 12 13 14	This requirement has not been met as evidenced by LPA's review of sign in sheets during the complaint investigation showing 1 staff caring for more than 12 children on more than one occassion.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC9099 (FAS) - (06/04)

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