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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334843588
Report Date: 03/09/2022
Date Signed: 03/09/2022 01:28:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/01/2022 and conducted by Evaluator Elyse Jones
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220301135258
FACILITY NAME:YMCA YOUTH CENTER AT RIVER ROAD PARKFACILITY NUMBER:
334843588
ADMINISTRATOR:BEATRIZ DE CAROFACILITY TYPE:
830
ADDRESS:1100 RIVER ROADTELEPHONE:
(951) 736-9622
CITY:CORONASTATE: CAZIP CODE:
92880
CAPACITY:24CENSUS: 12DATE:
03/09/2022
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Beatriz De Caro, DirectorTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Physical Plant
Physical Plant
INVESTIGATION FINDINGS:
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On March 9, 2022, Licensing Program Analysts (LPAs) Elyse Jones and Blanca Ruiz-Silva arrived at the facility to initiate and deliver findings for a complaint. LPAs conducted a tour of the facility and took census. During the investigation interviews were conducted with pertinent parties and documentation was requested.

On March 1, 2022 a complaint was received alleging the facility playground surface is not level, is hilly, and has lots of holes and there is no shade being provided due to the tree being dead and no canopies. During the facility tour LPAs observed children playing on the playground with a tree in the middle that did not have any leaves on it, holes in the ground, uneven surfaces, protruding tree roots and fire ants around the base of the tree. The playground does not provide constant shade area for the children throughout the day and has tripping hazards. During interview with pertinent parties it was disclosed that the leaves fell off around November and never grew back. The Director stated, the facility does have canopies, however, they do not utilize them. It was also disclosed that the Area Coordinator has been informed of the tree and playground.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 09-CC-20220301135258
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: YMCA YOUTH CENTER AT RIVER ROAD PARK
FACILITY NUMBER: 334843588
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/11/2022
Section Cited
CCR
101238.2(b)(1)
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Outdoor Activity Space
(b) The outdoor activity space shall be situated to: (1) Provide a shaded rest area for the children. This requirement was not met as evidenced by:
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Director agrees to submit a plan to the Department which states how the facility will provide a shaded rest area for the children and will submit pictures by close of business on the POC due date. Director also agrees to obtain and submit documentation from the City of Corona regarding the condition of the tree by 3/23/2022.
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Based on the observation and interview, the Licensee did not meet Outdoor Activity Space which poses a potential Health, Safety & Personal Rights risk to the children in care. During the facility tour LPAs observed children playing on the playground that was not shaded. The Director stated, the facility has canopies but does not utilize them.
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Type B
03/11/2022
Section Cited
CCR
101238.2(d)(1)
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Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned. This requirement was not met as evidenced by:
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Director agrees to submit a plan to the Department which states how the facility will provide a safe and hazard free outdoor activity space and will submit pictures of holes and uneven spaces repaired. Director also agrees to obtain documentation from the City of Corona regarding the condition of the protruding tree roots and ants by 3/23/2022.
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Based on the observation and interview, the Licensee did not meet Outdoor Activity Space which poses a potential Health, Safety & Personal Rights risk to the children in care. During the facility tour LPAs observed holes in the ground, uneven surfaces, protruding tree roots and fire ants around the base of the tree.
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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: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 09-CC-20220301135258
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: YMCA YOUTH CENTER AT RIVER ROAD PARK
FACILITY NUMBER: 334843588
VISIT DATE: 03/09/2022
NARRATIVE
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Based on all the information obtained from observation and interviews with pertinent parties,the department has determined the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

See LIC 809-D for deficiencies.

Exit interview was conducted and a copy of this report and a Notice of Site Visit, Appeal Rights and Notice of Site Visit must be posted for 30 day. A copy of this report must be made available to the public for three years upon request.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5