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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020009
Report Date: 07/06/2021
Date Signed: 07/06/2021 01:56:41 PM

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 EARLY LEARNING CENTERFACILITY NUMBER:
198020009
ADMINISTRATOR:MARLEE OVALLESFACILITY TYPE:
840
ADDRESS:22600 SUNSET CROSSING RDTELEPHONE:
(909) 860-9622
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY:30CENSUS: 24DATE:
07/06/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:47 AM
MET WITH:Site Coordinator, Marlee OvallesTIME COMPLETED:
02:05 PM
NARRATIVE
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On 07/06/2021 at 10:47 am, Licensing Program Analysts (LPA) Jose Guzman conducted an unannounced required inspection. LPA met with Site Coordinator Marlee Ovalles, who guided the LPA on a tour of the facility. This is a school age program licensed for 30 children which operates Monday – Friday from 6:30 AM – 6:00 PM. Per the Site Coordinator there are 30 children enrolled.

Upon arrival, the following staff was present during this inspection: Sunset Room: Staff #1 and #2 with 24 children. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. All children were observed to be under supervision, including visual supervision, of a teacher at all times. The licensed facility is within the conditions, limitations, and capacity specified on the license.

Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. The indoor classroom was inspected to ensure that the floors have a surface that is safe and clean. Storage for medication was inspected to ensure that medications are in a safe place inaccessible to children. All toilets and hand washing facilities are in safe and sanitary operating conditions. All materials and surfaces accessible to children are toxic free. Storage areas for poisons are locked. At this time, the office is used as an isolation area. There are chairs in the office a cot is also provided to the children. Parents are contacted immediately when children are determined to be ill.

Snack menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. The facility provides AM snack and PM snack. The facility does not provide lunch.
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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jose GuzmanTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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 EARLY LEARNING CENTER
FACILITY NUMBER: 198020009
VISIT DATE: 07/06/2021
NARRATIVE
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All kitchen, food prep, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination. All foods/beverages capable of spoiling are stored in covered containers at 45˚ (F) or less. There is drinking water available in the indoor classroom and drinking containers are taken outdoors. Solid waste storage vessels, including moveable bins, have tight fitting covers on and are in good repair. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements.

Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards. Areas around and/or under climbing equipment, cushioning material to absorb a fall; climbing apparatuses are single level only. The Site Coordinator states that due to COVID-19, a space in the parking lot is block off for children to use bicycles and scooters. The Site Coordinator also stated that there are no bodies of water on the premises and LPA did not observe any bodies of water during this inspection.

Per Site Coordinator, the facility uses digital sign in and out. Facility is able to print out sign in and sign out sheets if needed. Children’s Records were reviewed to ensure an admission agreement is on file. Children’s Records were reviewed to ensure an Identification and Emergency Form (LIC 700) is on file.

Staff Records were reviewed to ensure that appropriate documentation of education credits is on file. Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed. At 11:23 am, LPA observed Staff # 2 (S2) not associated to the facility. According to Site Coordinator, S2 was hired earlier this year (04/16/2021). Site Coordinator also stated that documents to associate S2 to the facility were submitted. LPA verified all necessary documents present for S2 to be associated to facility and has a criminal record clearance. LPA also verified that S2 does not have a clearance in DSS's criminal record clearance system. According to S2, fingerprints were submitted and did not receive notification from Guardian to submit additional documentation. Due to LPA verifying S2 not having a criminal record clearance on file, but documentation is available and was submitted, at this time a deficiency or civil penalty will not be cited. Proof of immunization against influenza, pertussis and measles for staff was readily available during today's inspection. At 11:35 am, during staff record review, LPA observed 1 of 2 staff did not have a current Mandated Reporter Training as required.

Report continues- Page 2 of 3

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jose GuzmanTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
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 EARLY LEARNING CENTER
FACILITY NUMBER: 198020009
VISIT DATE: 07/06/2021
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Section 102417. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA advised the Site Coordinator how to access forms, regulations and quarterly updates by visiting the Child Care Licensing website at: www.ccld.ca.gov.



The deficiency listed on the following page was observed by the LPA and are being cited in accordance with California Code of Regulations Title 22 and/or the Health and Safety Code. Please see attached LIC 809d.

Deficiency that is being cited need to be cleared to protect the children’s health & safety.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing reprehensive. Failure to maintain posting as required will result in a civil penalty of $100.00.



Exit interview was conducted with Site Coordinator, Marlee Ovalles. The Site Coordinator was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jose GuzmanTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
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 EARLY LEARNING CENTER
FACILITY NUMBER: 198020009
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/06/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/20/2021
Section Cited

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On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider...shall complete the mandated reporter training...and shall complete renewal...every two years following the date...initial mandated reporter training. This requirement is not met as evidenced by
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Based on observation, interview, and record review, the Site Coordinator did not ensure staff competed the Mandated Reporter training for 1 of 2 staff which posses a potential health & 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: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jose GuzmanTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 07/06/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/06/2021
LIC809 (FAS) - (06/04)
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