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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019117
Report Date: 11/03/2022
Date Signed: 11/03/2022 11:17:52 AM


Document Has Been Signed on 11/03/2022 11:17 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 WHITTIERFACILITY NUMBER:
198019117
ADMINISTRATOR:NICOLE RODRIGUEZFACILITY TYPE:
850
ADDRESS:12510 HADLEY ST.TELEPHONE:
(562) 392-6119
CITY:WHITTIERSTATE: CAZIP CODE:
90601
CAPACITY:42CENSUS: 8DATE:
11/03/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Director, Jamlia RiversTIME COMPLETED:
11:45 AM
NARRATIVE
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Licensing Program Analyst (LPA) Lilli Babcock conducted a Case Management-Deficiencies visit on 11/3/22 to address deficiencies revealed during a complaint investigation. A COVID risk assessment was conducted upon entry and appropriate PPE was used by LPA. LPA met with Director, Jamlia Rivers, to whom the reason for the visit was explained. LPA observed eight (8) children and one (1) staff present at the facility during this inspection.

On 9/1/22, 9/23/22, and 10/20/22 LPA Babcock visited the infant facility. LPA conducted staff interviews with Senior Director and five (5) staff. LPA also obtained several documents related to the complaint allegation, including but not limited to, a copy of the Facility Roster (LIC 9040), Personnel Report (LIC 500), copies of Child Supervision Records (CSRs), staff timecards, and a copy of the Group Me Infant Chat from 8/1/22 to 9/7/22 that revealed that the preschool facility has been commingling preschool children with the infant children.

During interviews conducted, Staff #1 stated that on 8/16/22 there were “6 infants and a handful of preschool students” in the infant room. The CSR for the preschool program for 8/16/22 shows 5 preschool children were signed in, with one staff present between the time of 6:30 am to 7:39 am. The one staff present on the preschool CSR was also the only staff present on the infant CSR showing 6 infants were signed in from 6:30 am to 7:49 am.

Additional staff interviews disclosed the following: Staff #2 stated they had observed an infant being taken to the preschool room for care at the end of the day on more than one occasion. Staff #4 stated
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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 11/03/2022
NARRATIVE
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they had observed infants being cared for in the same room as preschool children. Staff #4 additionally stated, “I know one time, one of the toddlers had slept in there”. Staff #5 stated, “I was leaving for lunch and I saw one of the infants in the preschool room”.

The Senior Director stated, “I know one morning they did because a staff member called out and they had to stay together until another staff member came in”. The Group Me Infant Chat shows a text on 8/16/22 at 6:43 am, that states “2:1 infant + 2 preschoolers in infant”.

Based on staff interviews and records reviewed, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.


A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Director, Jamlia Rivers.




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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/03/2022 11:17 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 11/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/03/2022
Section Cited

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10116(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

This requirement was not met as evidenced by:
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Based on interviews and records review, the facility did not abide by the license limitations specifying serving preschool children only, by commingling infants and preschool children, which poses a potential health and safety risk to 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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2022
LIC809 (FAS) - (06/04)
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