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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019117
Report Date: 08/03/2022
Date Signed: 08/03/2022 05:44:47 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/25/2022 and conducted by Evaluator Lilli Babcock
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220725160459
FACILITY NAME:YMCA OF GREATER WHITTIERFACILITY NUMBER:
198019117
ADMINISTRATOR:NICOLE RODRIGUEZFACILITY TYPE:
850
ADDRESS:12510 HADLEY ST.TELEPHONE:
(562) 392-6119
CITY:WHITTIERSTATE: CAZIP CODE:
90601
CAPACITY:42CENSUS: 12DATE:
08/03/2022
UNANNOUNCEDTIME BEGAN:
07:37 AM
MET WITH:Director, Nicole RodriguezTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility is operating out of ratio
Children left under the care and supervision of unqualified staff
INVESTIGATION FINDINGS:
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On 8/3/22 Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced Initial Complaint inspection visit to the above facility. A COVID risk assessment was conducted, and appropriate PPE was used by LPA.
At 7:37 am LPA arrived at facility and attempted to locate the Director. LPA noticed an open classroom door at the end of the hall. LPA observed Staff #1 alone with 15 school-age children in the School-age One Classroom. LPA then walked by another classroom (infant room) and observed Staff #2 alone with 5 infants. LPA located Director, Nicole Rodriguez, in the Preschool Two Classroom with 5 preschool children. LPA explained to director the reason for the visit.
Regarding the allegation that the facility is operating out of ratio, based on LPA observation, this allegation is substantiated.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022
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 3
Control Number 33-CC-20220725160459
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: YMCA OF GREATER WHITTIER
FACILITY NUMBER: 198019117
VISIT DATE: 08/03/2022
NARRATIVE
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During the visit, LPA interviewed 6 staff and obtained Child Supervision Records (CSRs) for the preschool and school-age classrooms, Personnel Record (LIC 500), and Children's Roster (LIC 555).

At 11:55 am, LPA observed staff #3 and staff #5 in the preschool classroom supervising 12 children. File review revealed both staff #3 and #5 do not have teacher unit qualifications. Therefore, the preschool classroom is out of ratio.

Regarding the allegation that children left under the care and supervision of unqualified staff, based on LPA observation and staff file reviews of staff supervising children during this inspection, this allegation is substantiated.

Based on LPA observations, interviews, and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations, is being cited on the attached LIC 9099-D.

LPA Lilli Babcock informed facility representative, Nicole Rodriguez that this report dated 8/3/2022 document(s) one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Lilli Babcock informed the facility representative to provide a copy of this licensing report dated 8/3/2022 that documents any Type A citation(s) 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.

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.

Exit interview conducted and report was reviewed with Director, Nicole Rodriguez.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20220725160459
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: YMCA OF GREATER WHITTIER
FACILITY NUMBER: 198019117
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/04/2022
Section Cited
CCR
101216.3(a)
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101216.3(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.

This requirement is not met as evidenced by:
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Director will ensure that ratio is met with qualified teachers.
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Based on observation, interviews and record review, the facility did not ensure that teachers were qualified to be part of ratio, in 2 of 2 teachers observed in preschool classroom, which poses an immediated health and safety risk to persons in care.
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Type A
08/04/2022
Section Cited
CCR
101216.1(c)(1)(A)
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To be a fully qualified teacher, a teacher shall have...Twelve post-secondary semester... units in... child growth and development, or human growth and development; child, family and community, or child and family; and program/curriculum.

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Director will ensure that teachers have courses required to be considered a teacher.
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This requirement was not evidenced by;
Based on record review of staff files, director did not ensure teacher qualifications for 2 of 2 staff, which poses an immediated health and safety risk to persons 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: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022
LIC9099 (FAS) - (06/04)
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