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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364807277
Report Date: 12/21/2023
Date Signed: 12/21/2023 12:05:10 PM


Document Has Been Signed on 12/21/2023 12:05 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:YMCA/PRESCHOOL UNIVERSITYFACILITY NUMBER:
364807277
ADMINISTRATOR:ANDREA GUEVARAFACILITY TYPE:
850
ADDRESS:800 E. LUGONIA AVENUE, SUITE LTELEPHONE:
(909) 792-0555
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:210CENSUS: 54DATE:
12/21/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Andrea Guevara, DirectorTIME COMPLETED:
12:15 PM
NARRATIVE
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On 12/21/2023 at 08:35 AM, Licensing Program Analysts (LPAs) Raymond Moorehead and Elyse Jones arrived at the facility to conduct a Case Management inspection for the purpose of addressing separate matters that were discovered during an inspection at the facility. LPAs met with Licensee Director Andrea Guevara and conducted a tour of the facility and took a census. During the course of a complaint investigation, LPAs discovered that there was a incident that occurred between two children that violated the Personal Rights of a child.

During interviews with pertinent parties it was disclosed that staff were informed by a child that he/she was involved in. Although it was disclosed that staff were standing in a location that allowed he/she to observe the restroom, the incident was not observed. During the incident a child’s personal rights were violated due to lack of supervision.

According to regulation 101229 Responsibility for Providing Care and Supervision



(a) The licensee shall provide care and supervision as necessary to meet the children's needs.

(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

Based on information received, the facility will be cited. See LIC809-D for cited deficiency.

SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Raymond MooreheadTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 12/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/21/2023
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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Document Has Been Signed on 12/21/2023 12:05 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: YMCA/PRESCHOOL UNIVERSITY

FACILITY NUMBER: 364807277

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/22/2023
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidence by:
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Director agrees to conduct a training with staff which will includes topics of but not limited to Personal Rights and Supervision. Director agrees to submit training agenda and training date with topics to the Department by POC due date of 12/22/2023.
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During the course of the complaint investigation, it was revealed that an incident occurred between two children while in the restroom which resulted in a child's Personal Rights being violated. Further, the staff who was responsible for providing Supervision and Care did not observe the incident occur.
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When the training is completed, Director agrees to submit a sign in sheet with all staff who attended training within 24hrs of training.
Director agrees to submit the above plan of correction to LPA via email by 12/22/2023 by 5:00 PM.
Email: Raymond.Moorehead@dss.ca.gov

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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) 782-4200
LICENSING EVALUATOR NAME: Raymond MooreheadTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 12/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/21/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: YMCA/PRESCHOOL UNIVERSITY
FACILITY NUMBER: 364807277
VISIT DATE: 12/21/2023
NARRATIVE
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LPAs informed Director that this report dated 12/21/2023 documents 1 Type A citation which shall be posted for 30 consecutive days as there were immediate risks to the health, safety, or personal rights of children in care.

Also, LPAs informed Director to provide a copy of this licensing report dated 12/21/2023 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.


A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the licensee.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Raymond MooreheadTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2023
LIC809 (FAS) - (06/04)
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