198019459-12-10-2019-30-CC-VBAA-BK23HQ-20191219171615

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019459
Report Date: 12/10/2019
Date Signed: 12/10/2019 12:54:22 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/18/2019 and conducted by Evaluator Ericka Hill

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20191118142109

FACILITY NAME:	BURBANK COMMUNITY YMCA		FACILITY NUMBER:	198019459
ADMINISTRATOR:	ANGELA BUCK		FACILITY TYPE:	830
ADDRESS:	332 SAN JOSE AVE		TELEPHONE:	(818) 562-5461
CITY:	BURBANK	STATE: CA	ZIP CODE:	91502
CAPACITY:	24	CENSUS: 20	DATE:	12/10/2019
		UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Angela Buck - Senior Director		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Personal Rights
Allegation #1 Facility is operating out of ratio - Unsubstantiated
Allegation #2 Infant changing table is not disinfected after each use - Unsubstantiated
Allegation #3 Facility staff yell at infants - Unsubstantiated

INVESTIGATION FINDINGS:

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On 12/10/19 at 11:55am, LPA Adrian Risher, Lourdes Castellanos and Ericka Hill conducted an unannounced complaint inspection to deliver the findings for the above allegations. Upon arrival, LPA met with the Angela Buck, Director. LPA explained the purpose of the inspection. LPA toured the facility with the Director and observed 10 children in care with 3 staff present in room 1 and 10 children in care with 3 staff present in room 2.
LPA previously conducted interviews with Director 1, Director 2, and Staff 1 to 8. LPA conducted two unannounced visits on 11/20/19 and 12/04/19. LPAs observed room 1 and room 2 within ratio during each visit. LPA observed 11 infants with 3 staff in room 1 and 8 infants with 3 staff in room 2. During the interviews, staff reported that Director 2, Staff 1, Staff 4, Staff 8, and 1 additional staff member are used as back up and cover breaks for staff assigned to room 1 and 2. Director 2 stated that Staff 1 was assigned to room 1 while they are searching for permanent staff. Staff informed LPAs that no staff is left alone with more than 4 children and the teacher’s aides are not left alone.
Continues on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

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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Control Number 30-CC-20191118142109

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: BURBANK COMMUNITY YMCA	FACILITY NUMBER: 198019459
	VISIT DATE: 12/10/2019

NARRATIVE

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During the previous visits on 11/20/19 and 12/04/19, Staff informed LPAs about their diapering procedures. Staff stated that the changing table is sprayed and cleaned after each diaper change. Staff stated that they use medical paper to cover the changing table. Staff stated that they gather the supplies for diaper changing and places the child on the changing table. The poopy diapers are placed in a bag before throwing it away. One teacher changes the diapers and one teacher helps the children wash their hands. LPA Adrian Risher observed a stocked changing table in arm’s reach of a sink in Room 1 and Room 2. The changing table was clean and organized.

During the previous visits on 11/20/19 and 12/04/19, Staff stated when children are crying or fussy, they hold, soothe the infants and are very gentle with the infants. Staff also stated that they talk to the children or provide them with teethers when they are fussy. On 12/04/19 at 10:15am, LPAs observed Staff 7 holding and soothing an infant who was fussy and crying in room 2. LPAs also observed staff reading books and playing with age-appropriate toys with the infants in room 1 during the visit on 12/04/19.

Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interviews was conducted and a copy of the report was provided. Appeal rights were reviewed and provided.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

LIC9099 (FAS) - (06/04)

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