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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334803473
Report Date: 07/31/2019
Date Signed: 07/31/2019 10:54:06 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:DESERT YMCA/JEAN M. BENSON CDCFACILITY NUMBER:
334803473
ADMINISTRATOR:ROBIN MCCONNELLFACILITY TYPE:
850
ADDRESS:75-433 ORANGE BLOSSOMTELEPHONE:
(760) 836-3336
CITY:PALM DESERTSTATE: CAZIP CODE:
92211
CAPACITY:101CENSUS: 0DATE:
07/31/2019
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Robin McConnellTIME COMPLETED:
11:00 AM
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An informal office meeting was held at the Riverside Child Care Regional Office (RRO) on July 31, 2019. Present in the conference were Director, Robin McConnell, Licensing Program Managers (LPMs), Dawn Parker and Telma Sandoval; Licensing Program Analysts (LPAs) Joanne Domingo and Timeka Reed. The purpose of the office meeting is to discuss the following:

101229(a)(1) - Responsibility for Providing Care and Supervision: On 6/13/2019, a complaint was received regarding a child who was left outside on the playground unsupervised in 112 degree heat. On 6/11/19 between the hours of 5:00pm - 5:30pm, the staff failed to do a head count during transition from outside play to inside the classroom. The child was left outside, unsupervised for an undisclosed amount of time.

101212(d)(1)(C) - Reporting Requirements: Staff failed to inform Director,
Robin McConnell of the incident and the facility failed to file an Unusual Incident Report with CCL.

As a result of this informal conference, Director, Robin McConnell, has agreed to have staff complete online video training available at www.ccld.ca.gov regarding Care and Supervision, and Reporting Requirements and submit proof of completion within the next 30 days on or before August 31, 2019. Director was also advised to have staff members attend Child Care Orientation Component 3 at the Riverside Child Care Regional Office at 3737 Main St., Ste 700, Riverside throughout the year. Director further agreed to complete training and focus on Providing Care and Supervision with Resource and Referral. Director to provide the date of scheduled training within 30 days on or before
August 31, 2019 and submit proof of training within 60 days of completion.
SUPERVISOR'S NAME: Telma SandovalTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Joanne DomingoTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: DESERT YMCA/JEAN M. BENSON CDC
FACILITY NUMBER: 334803473
VISIT DATE: 07/31/2019
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Director was advised that the Department will conduct visits at least once per quarter for the next year. In addition, Director to maintain and provide daily transition logs for all classrooms upon request.

Director was advised to subscribe towww.childcareadvocatesprogram@dss.ca.gov to receive Department updates. The updates will be sent directly to the e-mail account provided once the facility has set up an account. This website can also be accessed through www.ccld.ca.gov.

An Exit interview was conducted and a copy of this report was issued to Director, Robin McConnell. This report must be made available to the public upon request for the next 3 years.
SUPERVISOR'S NAME: Telma SandovalTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Joanne DomingoTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019
LIC809 (FAS) - (06/04)
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