198017013-4-7-2022-54-CC-SSAZ-CD9RLW-20220407130750

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198017013
Report Date: 04/07/2022
Date Signed: 04/07/2022 01:08:01 PM

Document Has Been Signed on 04/07/2022 01:08 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	YMCA GLB LOS CERRITOS		FACILITY NUMBER:	198017013
ADMINISTRATOR:	MICHELE JANSSEN		FACILITY TYPE:	840
ADDRESS:	15530 WOODRUFF AVENUE		TELEPHONE:	(562) 925-1292
CITY:	BELLFLOWER	STATE: CA	ZIP CODE:	90706
CAPACITY:	80	CENSUS: 0	DATE:	04/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Michele Janssen, Administrator		TIME COMPLETED:	01:15 PM

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Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced annual inspection on 04/07/2022 at 10:20 am. LPA met with Michele Janssen, Administrator & Debbie Duran Gomez , Director, who guided analyst on a tour of the facility. This is a School-Age program which consists of 5 classrooms. Facility operation hours are Monday to Friday from 6:30AM to 8:00 AM and 1:30PM and 6:00PM.

All areas identified on this report were inspected. The following was observed during the tour of the facility:

Children's roster was reviewed and is current. Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. LPA reviewed 04/06/2022, due to no children being present during inspection. Disaster drill log was available, last drill was conducted on 03/03/2022. LPA observed required licensing documents posted on bulletin board in the entrance of the facility.

Furniture and equipment were inspected for age appropriateness and good repair. LPA observed material and equipment are free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Per Director, the isolation area is located in the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. Bathrooms were observed to be gender specific and they provide individual privacy for children. General sanitation was observed.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. According to the Director, medication is only administered to a child when accompanied with a doctor's note. Medication is stored in the child's in the administrator office where it is inaccessible to children in care. Director states that there are no poisons stored at the facility and understands that storage areas for poisons must be locked with a key or combination lock. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. First Aid supplies is available.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: YMCA GLB LOS CERRITOS	FACILITY NUMBER: 198017013
	VISIT DATE: 04/07/2022

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Menus were reviewed to ensure that they are being posted a month in advance and visible to an authorized representative. The facility provides a hefty PM snack. Facility offers breakfast but most children eat at there school. LPA observed that water is readily available indoors.

All kitchen area and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. All foods/beverages are kept are needed at 45˚ (F) or less.

Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards. Areas around and/or under climbing equipment, swings and slides have cushioning material to absorb a fall. The outdoor area had adequate shade. Child take there water bottles outside and there is also a drinking fountain. The Director states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s and Staff’s Records were reviewed and are complete.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA advised the Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: YMCA GLB LOS CERRITOS	FACILITY NUMBER: 198017013
	VISIT DATE: 04/07/2022

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Failure to obtain a criminal record background check clearance prior to initial presence in the facility will result in an immediate $100.00 dollar or more per day Civil Penalty.

Health and Safety Code 1596.7996 Effective January 1, 2019, CCCs and FCCHs are required to provide parents and guardians of children enrolling or re-enrolling in care with written information on the risks and effects of lead exposure, blood lead testing requirements and recommendations and options for locations of affordable blood lead tests. 2019 Lead flyer Provided.

Technical Support Program (TSP) was discussed and offered to licensee. Licensee was informed that contact person for the TSP program is LPA Marina Pilossian.

AB 2370 Requires that all licensed Child Care Centers that were constructed before January 1, 2010, must test their water for lead within a three-year window, between January 1, 2020 and January 1, 2023, with subsequent testing every 5 years after the date of the first test.

At this time, the Director is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC809 (FAS) - (06/04)

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