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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334841726
Report Date: 03/01/2022
Date Signed: 03/01/2022 04:44:15 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/14/2022 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220214120311
FACILITY NAME:CORONA-NORCO FAMILY YMCA YOUTH CENTER AT JURUPAFACILITY NUMBER:
334841726
ADMINISTRATOR:VOELTZ, MARTHAFACILITY TYPE:
840
ADDRESS:9254 GALENA STREETTELEPHONE:
(951) 685-5241
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:32CENSUS: 8DATE:
03/01/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Mattie Cramer, Site DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff are not following COVID-19 mask protocols.
Staff transported daycare children in an unsafe manner.
INVESTIGATION FINDINGS:
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On 03/01/22 at 01:00 PM Licensing Program Analyst (LPA) Giselle Carbullido arrived to conclude a complaint investigation which was initiated on 02/15/22. On 02/15/22, interviews were conducted, and records were obtained. During today’s visit, LPA toured the facility, conducted additional interviews, and took census. LPA met with Site Director Mattie Cramer to further discuss the allegations and deliver findings.

Regarding Staff are not following COVID-19 mask protocols. It was alleged staff do not wear masks while transporting children. LPA interviewed nine children and two staff. Interviews confirmed staff are not consistently wearing their masks while transporting children. Additionally, on 3/1/22, at 1pm LPA observed drop off at facility- children wore masks and staff did not.

Regarding Staff transported daycare children in an unsafe manner. It was alleged staff are utilizing their cell phones while transporting children. LPA interviewed 10 children and two staff. Interviews confirmed staff are utilizing their personal cell phones by talking and texting while at the school and while waiting at traffic signals.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2022
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 5
Control Number 09-CC-20220214120311
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CORONA-NORCO FAMILY YMCA YOUTH CENTER AT JURUPA
FACILITY NUMBER: 334841726
VISIT DATE: 03/01/2022
NARRATIVE
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Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED per California Code of Regulations, (Title 22, Division 12 ), See LIC9099D for cited deficiencies.

An exit interview was conducted, and appeal right discussed. A copy of this report, Notice of Site Visit and appeal rights were provided to Site Director, Mattie Cramer. This report must be made available to the public upon request for three years.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/14/2022 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220214120311

FACILITY NAME:CORONA-NORCO FAMILY YMCA YOUTH CENTER AT JURUPAFACILITY NUMBER:
334841726
ADMINISTRATOR:VOELTZ, MARTHAFACILITY TYPE:
840
ADDRESS:9254 GALENA STREETTELEPHONE:
(951) 685-5241
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:32CENSUS: 8DATE:
03/01/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Mattie Cramer, Site DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
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3
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5
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9
Staff handle children in a rough manner.
INVESTIGATION FINDINGS:
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On 03/10/22 at 1:00PM Licensing Program Analyst (LPA) Giselle Carbullido arrived to conclude a complaint investigation which was initiated on 02/15/22. On 02/15/22, interviews were conducted, and records were obtained. During today’s visit, LPA toured the facility, conducted additional interviews, and took census. LPA met with Site Director Mattie Cramer to further discuss the allegations and deliver findings.
Staff handled children in a rough manner. It was alleged staff took an object from a child and flushed object down the toilet and when child began to cry pushed child down onto a chair. LPA was unable to obtain any additional information. LPA interviewed 10 children and 2 staff. Children stated they have not observed any teacher holding a child a down or taking a child’s item/object and then throwing it away down a toilet. Staff stated they have not witnessed any staff member taking a child’s belonging and flushing the item down a toilet. Additionally, staff stated they use verbal redirection to address any concerns and do not put hands on children.
The Department has investigated the allegation above and due to conflicting information from interviews and what was alleged, LPA was unable to determine if staff handled children in a rough manner. Although the
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 09-CC-20220214120311
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CORONA-NORCO FAMILY YMCA YOUTH CENTER AT JURUPA
FACILITY NUMBER: 334841726
VISIT DATE: 03/01/2022
NARRATIVE
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allegation may have happened, or is valid, there is not enough evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted, and appeal right discussed. A copy of this report, Notice of Site Visit and appeal rights were provided to the Director. This report must be made available to the public upon request for three years
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 09-CC-20220214120311
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CORONA-NORCO FAMILY YMCA YOUTH CENTER AT JURUPA
FACILITY NUMBER: 334841726
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/08/2022
Section Cited
CCR
101223(a)(2)
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101223(a) (2) Personal Rights
2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement is not met as evidenced by:
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Facility Director will submit a written statement on how facility will implement CDPH and/or local jurisdiction on COVID guidance including face coverings by POC due date 3/08/22
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Based on interviews conducted the facility did not comply with the section cited above in that masks are not consistently worn by staff while transporting children. This poses a potential health and safety risk to children in care.
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Type B
03/08/2022
Section Cited
CCR
1012239(a)(2)
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101223(a) (2) Personal Rights
2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement is not met as evidenced by:
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Facility Director will conduct meeting with facility drivers to review phone/text usage in accordance with California State transportation laws. Director will submit agenda of topics covered, signed attendance sheet to the Department by POC due date 03/08/22.
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Based on interviews conducted the facility did not comply with the section cited above in that staff take calls and text during transport of children. This poses a potential health and safety risk to children 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: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5