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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370042
Report Date: 01/16/2025
Date Signed: 01/16/2025 01:27:30 PM

Document Has Been Signed on 01/16/2025 01:27 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:SADDLEBACK VALLEY YMCA-LADERA RANCHFACILITY NUMBER:
304370042
ADMINISTRATOR/
DIRECTOR:
CHRISTINA PELLECCHIAFACILITY TYPE:
840
ADDRESS:29551 SIENNA PARKWAYTELEPHONE:
(949) 364-3089
CITY:LADERA RANCHSTATE: CAZIP CODE:
92694
CAPACITY: 120TOTAL ENROLLED CHILDREN: 149CENSUS: 8DATE:
01/16/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Christina ParkwayTIME VISIT/
INSPECTION COMPLETED:
01:50 PM
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Licensing Program Analysts (LPA) Dean Thompson conducted an on-site inspection for the purpose of a Case Management Incident Inspection on 1/16/2025. LPA met with Director Christina Pellecchia then toured the facility inside and outside. Census was taken, there were eight school-age children with six staff.

A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Today's Case Management inspection is being conducted in response to a self-reported incident, reported to the OC CCL office on 1/10/2025, detailing on 1/9/2025, child #1 (C1), was left without adult supervision and found at the park located outside the school at 3:17 PM by C1 parent.



During today's visit, LPA obtained the Children’s Roster, obtained documents, and interviewed one staff.

Additional information is needed to complete this investigation.



No deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

Exit interview conducted and report was reviewed with Director Christina Pellecchia. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights discussed. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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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