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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334803473
Report Date: 09/08/2021
Date Signed: 09/08/2021 03:32:00 PM

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:CRISTY HARSHAWFACILITY TYPE:
850
ADDRESS:75-433 ORANGE BLOSSOMTELEPHONE:
(760) 836-3336
CITY:PALM DESERTSTATE: CAZIP CODE:
92211
CAPACITY:101CENSUS: 28DATE:
09/08/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Cristy HarshawTIME COMPLETED:
03:35 PM
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On 09/08/2021 at 2:45pm, Licensing Program Analysts (LPAs) Laura Mejorado and Destinee Hogue conducted an unannounced case management inspection to follow-up on an Unusual Incident Report (UIR) submitted by the facility to the Riverside Child Care Regional Office on 08/09/2021. During this inspection, LPA met with Director Cristy Harshaw (Director) and discussed the following:

It was reported that on 07/01/2021, a water pipe burst overnight causing flooding at the facility, no children were present. The facility closed and informed parents immediately. The director had an anticipated reopening date of 07/06/2021 which was pushed back due to construction. Once construction was completed the facility had a mold test conducted in the affected areas prior to reopening on 08/09/2021. Director provided LPA with mold test results from Enviro Check which shows the affected areas “Passed”. LPAs toured the facility and inspected the following affected rooms: Classroom A, Classroom B, Classroom C, Classroom D and the kitchen. All rooms were observed to be in good condition.

Based on information obtained during the inspection, as well as an inspection of the area where the reported incident occurred, there appears to be no violations of Title 22 Regulations at this time.

An exit interview was conducted, and a Notice of Site Visit was provided and must be posted for 30 days.

The signature below acknowledges this information was reviewed with Director, Cristy Harshaw.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura MejoradoTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021
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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