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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817599
Report Date: 08/31/2023
Date Signed: 08/31/2023 03:37:02 PM

Document Has Been Signed on 08/31/2023 03:37 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 JUDSON AND BROWN SCHOOL AGE SITEFACILITY NUMBER:
364817599
ADMINISTRATOR:JASMINE GARNETTFACILITY TYPE:
840
ADDRESS:1401 PENNSYLVANIA AVE.TELEPHONE:
(909) 735-6844
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY: 75TOTAL ENROLLED CHILDREN: 56CENSUS: 42DATE:
08/31/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Jasmine Garnett, Site DirectorTIME COMPLETED:
03:45 PM
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A case management inspection was conducted to follow-up on an Unusual Incident Report (UIR) submitted by the facility on 08/25/2023. Licensing Program Analysts (LPAs) Taityana Benson and Raymond Moorehead met with Site Director, Jasmine Garnett to discuss the reported incident. LPAs toured the facility, took census, reviewed facility records, and conducted an interview with staff involved in the reported incident.

It was reported that on August 23, 2023, at 3:30 p.m., a child exhibited unacceptable behavior toward another child during outdoor play. During the interview, it was stated that staff took immediate action when they were made aware of the unacceptable behavior. The facility immediately assessed the situation, called parents, and reported the incident timely. Based on the information obtained, the facility acted appropriately, and no violations of Title 22 Regulations have been identified.

An exit interview was held with Site Director, Jasmine Garnett. A Notice of Site visit was issued, along with a copy of this report.

This report shall be public record for three years.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE: DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/31/2023
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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