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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191608844
Report Date: 09/20/2022
Date Signed: 09/20/2022 08:06:47 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/10/2022 and conducted by Evaluator Monique Ayala
COMPLAINT CONTROL NUMBER: 54-CC-20220510130823
FACILITY NAME:YMCA GLB - WEINGART-LAKEWOOD - GOMPERS SITEFACILITY NUMBER:
191608844
ADMINISTRATOR:MAXINE CASEYFACILITY TYPE:
840
ADDRESS:5206 BRIERCRESTTELEPHONE:
(562) 925-6493
CITY:LAKEWWODSTATE: CAZIP CODE:
90713
CAPACITY:56CENSUS: 9DATE:
09/20/2022
UNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Director, Evelyn GaribayTIME COMPLETED:
08:30 AM
ALLEGATION(S):
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Children are limited in washing their hands.
INVESTIGATION FINDINGS:
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On September 20, 2022 at 7:00 am, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced inspection at the facility noted above and met with Director, Evelyn Garibay. The purpose of the inspection was to follow-up on the open complaint investigation for the allegation noted above.

During the course of the investigation, LPA conducted confidential interviews. LPA conducted telephone interviews with the complainant, Program Manager, one (1) staff (S3), and six (6) parents. LPA also attempted to contact 6 other parents. LPA conducted in-person interviews with the Facility Director, two staff (S1 and S2), and three children (C1, C2, and C3) at the facility.

The confidential interviews revealed that the children utilize the restrooms located in the cafeteria, which consists of 1 toilet and 1 sink for the boys and girls restroom. LPA was informed that children line up each day to wash their hands while staff count to expediate the line and to ensure that children are not playing inside the restroom. The amount of time that the children are allowed to wash their hands were inconsistent and varied.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
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 54-CC-20220510130823
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: YMCA GLB - WEINGART-LAKEWOOD - GOMPERS SITE
FACILITY NUMBER: 191608844
VISIT DATE: 09/20/2022
NARRATIVE
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Although the confidential interviews revealed that the time the children are allowed to wash their hands varied based on the reason for use of the restroom and reason for limitation, LPA found that the information obtained was consisted with the allegation.

Based on the information obtained, there is a preponderance of the evidence to prove that the children are limited in washing their hands. Therefore, the allegation is substantiated. Appeal rights are included with this report and deficiency was cited.

A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director, Evelyn Garibay.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 54-CC-20220510130823
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: YMCA GLB - WEINGART-LAKEWOOD - GOMPERS SITE
FACILITY NUMBER: 191608844
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/20/2022
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights (a)(2) To be accorded safe, healthful and comfortable accomodations, furnishings and equipment to meet his/her needs.

This requirement is not met as evidenced by:
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The facility will conduct a training with staff on personal rights, and submit the training agenda and sign-in sheet to LPA via e-mail by the POC due date. The facility will also submit to the Department an updated Facility Sketch (LIC 999) to ensure that the facility has enough toilets and sinks to meet the
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Based on interviews and observations, the children utilize the restrooms located in the cafteria which consist of 1 toilet and 1 sink in the boys and girls restroom. Multiple confidential interviews revealed that the children are limited in time to wash their hands.
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children's needs per Title 22 regulations (1 toilet and 1 sink for every 15 children). The facility will submit the updated Facility Sketch to LPA via e-mail by the POC due date.
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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: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
LIC9099 (FAS) - (06/04)
Page: 3 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/10/2022 and conducted by Evaluator Monique Ayala
COMPLAINT CONTROL NUMBER: 54-CC-20220510130823

FACILITY NAME:YMCA GLB - WEINGART-LAKEWOOD - GOMPERS SITEFACILITY NUMBER:
191608844
ADMINISTRATOR:MAXINE CASEYFACILITY TYPE:
840
ADDRESS:5206 BRIERCRESTTELEPHONE:
(562) 925-6493
CITY:LAKEWWODSTATE: CAZIP CODE:
90713
CAPACITY:56CENSUS: 9DATE:
09/20/2022
UNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Director, Evelyn GaribayTIME COMPLETED:
08:30 AM
ALLEGATION(S):
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A teacher intimidates the children.
A teacher yells at the children.
Children's comfort level is not considered.
INVESTIGATION FINDINGS:
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On September 20, 2022 at 7:00 am, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced inspection at the facility noted above and met with Director, Evelyn Garibay. The purpose of the inspection was to follow-up on the open complaint investigation for the allegations noted above.

During the course of the investigation, LPA conducted confidential interviews. LPA conducted telephone interviews with the complainant, Program Manager, one (1) staff (S3), and six (6) parents. LPA also attempted to contact 6 other parents. LPA conducted in-person interviews with the Facility Director, two staff (S1 and S2), and three children (C1, C2, and C3) at the facility.

The confidential interviews revealed pertinent parties denying the allegations. The interviews with parents and staff denied concerns regarding staff intimidating children, yelling at children, and/or not considering the children's comfort level. The interviews revealed that staff will sometimes raise their voice inside the cafeteria to get the children's attention due to the noise level, but will not yell at children directly in a demeaning matter.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 54-CC-20220510130823
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: YMCA GLB - WEINGART-LAKEWOOD - GOMPERS SITE
FACILITY NUMBER: 191608844
VISIT DATE: 09/20/2022
NARRATIVE
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The confidential interviews revealed that children are told to wear their jacket or to take their jacket with them outside, if they are cold but are not forced to wear their jackets. The interviews also revealed that the facility ensure the safety of the children by having the children remain in the cafeteria and/or play in the shaded areas, if the weather is hot outside.

Based on LPA's own observations, the noise level with the children inside the cafeteria is loud and staff raise their voice to be heard over the noise inside the cafeteria. LPA was unable to obtain sufficient evidence that staff yell at children, violating the children's personal rights.

Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a teacher intimidates the children, a teacher yells at the children, and the children's comfort level is not considered; therefore, the complaint allegations are unsubstantiated.

No deficiencies were cited in relation to the allegations.

A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Appeal rights were provided and discussed with the facility representative.

An exit interview was conducted and a copy of the report was provided to Director, Evelyn Garibay.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5