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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334804258
Report Date: 08/21/2025
Date Signed: 08/21/2025 05:35:51 PM

Document Has Been Signed on 08/21/2025 05:35 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CORONA NORCO YMCA YOUTH CENTER AT HOME GARDENSFACILITY NUMBER:
334804258
ADMINISTRATOR/
DIRECTOR:		LETICIA HERNANDEZFACILITY TYPE:
840
ADDRESS:13550 TOLTEN AVENUETELEPHONE:
(951) 278-9680
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY: 36TOTAL ENROLLED CHILDREN: 34CENSUS: 37DATE:
08/21/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Director Leticia HernandezTIME VISIT/
INSPECTION COMPLETED:
05:40 PM
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Licensing Program Analyst (LPA) Susan Brewer arrived to continue a case management visit is conducted, in response to the receipt of a unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 06/24/2025. It indicates that on 06/20/25 the director was informed of inappropriate behavior of a subject staff with a daycare child. The LPA conducted a tour of the facility and conducted census of 37 children in rotation, supervised by 4 staff. Program director Kim Johnson arrived at the facility to join the inspection at 3:30 PM.

On 06/30/2025 LPA S. Brewer, met with Director Leticia Hernandez, to initiate a follow-up case management inspection along with the Annual Inspection. The LPA reviewed and gathered records, conducted interviews with pertinent parties and made observations. On today's date the LPA continued the follow-up investigation.

Based on the information gathered, a subject staff engaged in electronic communication with two subject children, outside of work hours, which is considered inappropriate and against the agency’s policy and procedures for employees.

Further investigation revealed that the facility took appropriate action to self-report the incident to the licensing department in a timely manner. The licensee notified local law enforcement and other relevant parties as required, and it was determined that no crime was committed. As a result of the incident and violation of the agency’s policy and procedures the subject staff is no longer employed.

See LIC809C Page 2 - Case Management Incident
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Susan Brewer
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CORONA NORCO YMCA YOUTH CENTER AT HOME GARDENS
FACILITY NUMBER: 334804258
VISIT DATE: 08/21/2025
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LIC809C Page 2 - Case Management Incident

However, it was also determined that the following violations have been identified: The facility was in violation of not following their plan of operation due to a subject staff not adhering to the following.

1. The Corona-Norco Family YMCA, Parent Handbook, Page 11, references the agencies Safe School & Harassment Policy: The following behaviors will not be tolerated and are prohibited at any of our facilities: Behavior which threatens the safety, welfare or morals of others.

2. The YMCA Employee Handbook, Page 6, references Employee Policies and Procedures Manual Full-Time and Exempt Staff April 2017 Revision 6 Includes January & July 2018 Updated Policies Prohibited harassment, disrespectful or unprofessional conduct includes, but is not limited to, the following behavior: (g.) Communication via electronic media or any type that includes any conduct that is prohibited by state and/or federal law or by Corona-Norco Family YMCA policy.

See LIC809D for cited Type B deficiency of the California Code of Regulations, Title 22, Div. 12. 101173(d) The child care center shall operate in accordance with the terms specified in the plan of operation.

A Type B deficiency was issued on today's date.

No civil penalties were issued on today's date.

Exit interview was conducted and a copy of this report was provided to the Director Leticia Hernandez.

A notice of site visit was provided and must remain posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Susan Brewer
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 08/21/2025 05:35 PM - It Cannot Be Edited


Created By: Susan Brewer On 08/21/2025 at 04:59 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CORONA NORCO YMCA YOUTH CENTER AT HOME GARDENS
FACILITY NUMBER: 334804258

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/29/2025
Section Cited
CCR
101173(d)

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101173(d) Plan of Operation: (d) The child care center shall operate in accordance with the terms specified in the plan of operation.policies and procedures.

This regulation was not met as evidenced by:
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The licensee agrees to ensure facility staff participate in training regarding their policies & procedures outilined in the employee handbook and parent handbook, regarding health and safey, and engagement with children with align with the parent handbook and employee handbook.
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Based on interview and records gathered, the licensee violated their plan of operation, policies & procedures, due to a subject staff engaging in inapproriate communication with daycare children which is a potential risk to the health & safety of children in care.
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In addition, the licensee agrees to submit proof of staff participation in training to the department, by fax, mail or e-mail.

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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.
Ana Noble
NAME OF LICENSING PROGRAM MANAGER:
Susan Brewer
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/21/2025


LIC809 (FAS) - (06/04)
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