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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000062
Report Date: 09/05/2024
Date Signed: 09/05/2024 03:28:24 PM

Document Has Been Signed on 09/05/2024 03:28 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:YMCA GLB WEINGART-LAKEWOOD YMCA SITEFACILITY NUMBER:
198000062
ADMINISTRATOR/
DIRECTOR:
ARACELI MOTAFACILITY TYPE:
840
ADDRESS:5835 E. CARSON ST.TELEPHONE:
(562) 425-7431
CITY:LAKEWOODSTATE: CAZIP CODE:
90713
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
09/05/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Jessica QuinteroTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 09/05/2024 at 1:45pm, Licensing Program Analysts (LPAs) Jonnisha Culbert, Portia Bowden, and Jeanette Estrada conducted an announced case management inspection at the facility noted above and met with Program Manager, Jessica Quintero. The purpose of the inspection is to inspect the facility due to an addition to the building (in 2015) which required a new fire clearance as well as inspect the proposed outdoor area which will require the approval of a waiver. A new fire clearance for the indoor activity space was approved on 8/25/24. No children were present during visit.

This is a school-age program located at the Lakewood Family YMCA. Per Program Manager, this is the main site for the the program which operates Monday through Friday from 6:30 am to 9am for the morning. The afternoon schedule is from 2pm to 6pm except on Thursdays. Due to school early dismissal, on Thursday the program is from 2pm to 6pm.

LPAs inspected upstairs gym (addition to building). LPAs observed that the entire upstairs addition was a gym equipped with workout equipment. Per the Program Manager, children enrolled in the licensed program will not use the added upstairs area at any time. They will only utilize the two rooms previously licensed on facility sketch. Children have access to the downstairs gym and the "Teen Center" room near the gym. Per Program Manager, children are escorted through the YMCA building to their designated rooms by staff.

A pool is located on the premises and is only used by the YMCA (Fitness Members) and the Accredited Day Camp Program. Per Program Manager, the pool is not used by children enrolled in the licensed program at any time.

Per Program Manager, there is currently no outdoor play space that meets regulation. Program Manager is requesting to use Heartwell park located directly across the street from facility. A waiver request was sent in
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: YMCA GLB WEINGART-LAKEWOOD YMCA SITE
FACILITY NUMBER: 198000062
VISIT DATE: 09/05/2024
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to the Department and is pending approval. Per Program Manager, the facility already have a waiver on file for outdoor play area. The Department granted the waiver to use facility gym in lieu of outdoor play space.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Jessica Quintero.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
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