364800492-3-9-2023-09-CC-SBRR-CPS4T5-20230309182233

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364800492
Report Date: 03/09/2023
Date Signed: 03/09/2023 06:22:50 PM

Document Has Been Signed on 03/09/2023 06:22 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	YMCA/SMILEY SCHOOL AGE SITE		FACILITY NUMBER:	364800492
ADMINISTRATOR:	LILLIANA SANDOVAL		FACILITY TYPE:	840
ADDRESS:	1210 W. CYPRESS AVENUE		TELEPHONE:	(909) 735-6890
CITY:	REDLANDS	STATE: CA	ZIP CODE:	92373
CAPACITY: 75	TOTAL ENROLLED CHILDREN: 50	CENSUS: 35	DATE:	03/09/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Director Allison Rosenthal		TIME COMPLETED:	06:35 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 03/09/2023 at 1:45 PM A required – 1 year inspection is being conducted as part of a compliance review. Licensing Program Analyst (LPA) Susan Brewer, was greeted by Site Supervisor Allison Rosenthal, granted entry to tour the school-age center, inside and out. The following was observed: Present were the Site Supervisor and 3 staff. Area director Deidra Gregory, arrived at approximately 2:30 PM to join the inspection. Days and Hours of operation: Mon-Fri 2:05 PM to 6:00 PM; Minimum Days: 11:50 AM to 6:00 PM, In the Multi-Purpose Room/Cafeteria. The inspection consisted of reviews of the following domains: Food Service, Reporting Requirements Physical Plant, Care and Supervision Children Records, Staff Records, Staffing Ratio and Capacity Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809-D. A review of the staff records and children's records were conducted as part of this evaluation. The licensee is asked to update the following documents and submit to licensing within 30 days: Only if changes have been made on or before 04/10/2023. 1. LIC 500 Personnel Report 2. LIC 610 Emergency & Disaster Plan 3. Parent Handbook/Program Curriculum/Admission policies and procedures/fee schedule (only if changes have been made). 4. Employee Handbook/Training Curriculum 5. LIC 309 Administrative Organization 6. LIC 308 Designation of Administrative Responsibility for Site Director, Area Director and any staff designated to supervise children in the absence of the Site Director 7. Updated By-Laws for YMCA, Articles of Incorporation and current Meeting Minutes, including Designations of Authority. 8. Proof of Lead Testing

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: YMCA/SMILEY SCHOOL AGE SITE	FACILITY NUMBER: 364800492
	VISIT DATE: 03/09/2023

NARRATIVE

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· The following items have been posted and are updated where necessary: License, Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148); Parent’s Rights Poster (PUB393), Personal Rights (LIC613A); Child Car Seat Law, Menu on 03/09/2023
· Appropriate fire extinguisher (2A:10BC), smoke detector and carbon monoxide detector are present, are in working order and were tested by the applicant during this inspection on 03/09/2023.
· Last fire drill conducted on 09/08/2022 at 2:15 PM with 43 children present and went to field.
· The facility is operating within the terms of the license.
· Facility is clean, safe and sanitary and in good repair.
· Ratios were met during this inspection. 4 staff supervising 35 children in care
· Appropriate supervision was provided during this inspection
· Classrooms are equipped with age appropriate furniture and equipment in good condition
· Classrooms are clean and free of hazards.
· All materials and surface accessible to children are toxic free
· No weapons stored at the facility on 03/09/2023.
· There are no bodies of water present 03/09/2023. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· No Medications stored where inaccessible to children.
· Center is equipped to isolate and care for any child who becomes ill during the day.
· Hazards are stored where inaccessible to children which include: disinfectants, cleaning solutions and other items that are dangerous to children. Locked in office closet.
· All floors shall be clean and safe
· Measures are taken to keep the facility free of flies, other insects and rodents.
· Toxins are locked in custodian closet.
· Bathrooms were observed to be safe, sanitary and in operating condition.
· Playgrounds are enclosed by appropriate fences and free of hazards.
· Outdoor activity areas are supplied with age and size appropriate equipment in good condition.
· Food preparation area is clean and free of vermin on 03/09/2023.
· Food is stored appropriately and protected from contamination.
· All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. All storage bins were observed without lids.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: YMCA/SMILEY SCHOOL AGE SITE	FACILITY NUMBER: 364800492
	VISIT DATE: 03/09/2023

NARRATIVE

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· Uncontaminated drinking water shall be readily available both indoors and out. LPA observed water is provided by outdoor water fountains only, with filling stations. No pitchers, water bottles or igloos observed indoors. Per director, the facility walks groups of children outdoors to get water when requested.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall by woodchips and grass.
· Menus shall be posted at least one week in advance in a place visible by the child’s authorized representative, dated and kept on file for 30 days, and made available upon request.
· Sign in/Sign out record was reviewed and meets regulation requirements.
· A Staff member is present with current Pediatric CPR/First Aid which expires on 02/2024
· Opening and closing staff member’s CPR/First Aid expires on 12/2024.
· Director completed Health and Safety Training on 04/23/2022.
· Staff qualifications and files were reviewed – health screening is NOT on file for teachers or teacher’s aid. In addition, proof of immunizations were missing for all staff present and caring for children.
· All staff present meet educational requirements.
· Staff received on the job training for house-keeping, sanitation and universal health precautions
· Each child’s file is complete on 03/09/2023.
· Licensee was informed of the Department has inspection authority per Health and Safety Codes.
· Documentation of Lead Testing is NOT on file. Per area director Deidra Gregory, they were informed that the school district may have conducted lead testing in 2020, however proof of lead test results were not available for verification on 03/09/2023.
· A review of staff records on 02/15/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
The Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov

For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: YMCA/SMILEY SCHOOL AGE SITE	FACILITY NUMBER: 364800492
	VISIT DATE: 03/09/2023

NARRATIVE

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Director Deidra Gregory was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov for Riverside Regional Office.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Type B deficiencies cited this visit.

Civil Penalties not issued this visit

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Area Director Deidra Gregory.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/09/2023 06:22 PM - It Cannot Be Edited

Created By: Susan Brewer On 03/09/2023 at 06:01 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: YMCA/SMILEY SCHOOL AGE SITE	FACILITY NUMBER: 364800492
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA Susan Brewer record review, the licensee did not comply with the section cited above in Director Deidra Gregory was unable to provide proof of Lead Testing results for the facility, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/07/2023
	Plan of Correction
1 2 3 4	Director Deidra Gregory, agrees to submit proof lead of testing scheduled date for the child care facility or results of lead testing conducted at the facility for all water sources utilized for daycare children. Proof of testing can be provided by fax, mail or e-mail on or before 04/07/2023.

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA Susan Brewer record review for staff present and caring for children, the licensee did not comply with the section cited above in all staff were missing immunization records, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/31/2023
	Plan of Correction
1 2 3 4	Director Deidra Gregory, agrees to submit proof of immunization records for the child care facility staff employed and working with children. Proof of testing can be provided by fax, mail or e-mail on or before 03/31/2023.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Kimberly Williams

LICENSING EVALUATOR NAME:

Susan Brewer

LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/09/2023 06:22 PM - It Cannot Be Edited

Created By: Susan Brewer On 03/09/2023 at 06:01 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: YMCA/SMILEY SCHOOL AGE SITE	FACILITY NUMBER: 364800492
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216(g)(2)

Personnel Requirements

(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA Susan Brewer review of staff records, the licensee did not comply with the section cited above in 3 of 4 staff present and working with children did not have a LIC503 Health Screening on file which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/07/2023
	Plan of Correction
1 2 3 4	Director Deidra Gregory, agrees to submit proof LIC503 Health Screening, for all staff employed and working with children at the facility. Proof of LIC503 Health screening can be provided by fax, mail or e-mail on or before 04/07/2023.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Kimberly Williams

LICENSING EVALUATOR NAME:

Susan Brewer

LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

LIC809 (FAS) - (06/04)

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