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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 570305378
Report Date: 09/27/2023
Date Signed: 09/27/2023 01:12:49 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/02/2023 and conducted by Evaluator Lauren Scott
COMPLAINT CONTROL NUMBER: 53-CC-20230802121456
FACILITY NAME:YMCA OF SUPERIOR CALIFORNIA - YOLO PRESCHOOLFACILITY NUMBER:
570305378
ADMINISTRATOR:CATHLEAN RIPLEYFACILITY TYPE:
850
ADDRESS:1300 COLLEGE STREETTELEPHONE:
(530) 662-1086
CITY:WOODLANDSTATE: CAZIP CODE:
95695
CAPACITY:69CENSUS: DATE:
09/27/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Ramon GarciaTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff inappropriately speaks to children in care.
Staff do not ensure children have appropriate footwear while outside on the play yard, resulting in injury.
Staff served food to day care child that they were allergic to.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Lauren Scott met with Program Director, Ramon Garcia, to deliver the findings of the complaint investigation regarding the above allegations.
During the course of the investigation, LPA Scott conducted interviews, and obtained information pertaining to allegations. It was alleged that staff were speaking inappropriately to children in care. Through interviews, it was revealed that S1 was using intimidating and threatening tactics to enforce children to follow rules. It was also alleged that children were getting injuries due to not wearing shoes outside. Through interviews, it was revealed that injuries, including stubbed toes and splinters were happening more frequently due to shoes not being worn while playing outside. It was also alleged that a child was served a food they were allergic to by staff at the facility. Through interviews, it was revealed that lunch from the school district contained a food a child was allergic to and staff served it to the child without checking their lunch prior.

Report continues on 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
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 4
Control Number 53-CC-20230802121456
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: YMCA OF SUPERIOR CALIFORNIA - YOLO PRESCHOOL
FACILITY NUMBER: 570305378
VISIT DATE: 09/27/2023
NARRATIVE
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Based on the interviews, the preponderance of evidence standard has been met, therefore the above allegations have been found to be SUBSTANTIATED. Title 22 regulations are being cited on the attached 9099-D page.

An exit interview was conducted with the Program Director, Ramon Garcia.

LPA Scott informed NAME that this report dated September 27, 2023 documents two Type A citations which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Scott informed the Program Director, Ramon Garcia to provide a copy of this licensing report dated September 27, 2023 that documents any Type A citations 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.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 53-CC-20230802121456
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: YMCA OF SUPERIOR CALIFORNIA - YOLO PRESCHOOL
FACILITY NUMBER: 570305378
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/28/2023
Section Cited
CCR
101223(a)(3)
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The licensee shall ensure that each child is accorded the following personal rights:
...To be free from corporal or unusual punishment... pain, humiliation, intimidation, ridicule... threat....
This requirement was not met as evidenced by:
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Licensee has let go of staff at this time. For the future, licensee will follow up with managers on site regarding any issues that are arising with staff and ways to implement expectations of the organization
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Through interviews, it was revealed that staff have used threat and intimidation to enforce rules, and/ or have children follow facility rules
This poses an immediate health, safety or personal rights risk to children in care.
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Type A
09/28/2023
Section Cited
CCR
101227(a)(7)(b)
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(a) In child care centers providing meals to children, the following shall apply...
(b) A child shall not be served any food to which the child's record indicates he/she has an allergy.
This requirement was not met as evidenced by:
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Licensee will ensure an allergy list is posted on snack carts as well as in the classroom. If food is being brought in from outside, facility will check the food prior to serving
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Through interviews, it was revealed lunch provided from the school district, was not checked by staff prior to serving. Resulting in a child consuming a food they were allergic to.
This poses an immediate health, safety or personal rights 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.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 53-CC-20230802121456
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: YMCA OF SUPERIOR CALIFORNIA - YOLO PRESCHOOL
FACILITY NUMBER: 570305378
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/27/2023
Section Cited
CCR
101223(a)(2)
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The licensee shall ensure that each child is accorded the following personal rights... be accorded safe, healthful and comfortable accommodations, furnishings... to meet his/her needs.
This requirement was not met as evidenced by:
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Licensee states they will ensure all children are wearing appropriate footwear while outside at all times
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Through interviews, it was alleged that children are not wearing shoes while outside which has caused an increase in injuries.
This poses an immediate health, safety or personal rights 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.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4