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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270708
Report Date: 06/03/2025
Date Signed: 06/03/2025 02:07:21 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/10/2025 and conducted by Evaluator Soo Jin Jung
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20250410154307
FACILITY NAME:SADDLEBACK VALLEY YMCA-TIJERAS CREEKFACILITY NUMBER:
304270708
ADMINISTRATOR:CESARIO JONES ALICIAFACILITY TYPE:
840
ADDRESS:23072 AVENIDA EMPRESSATELEPHONE:
(949) 635-9622
CITY:RCHO STA MARGSTATE: CAZIP CODE:
92688
CAPACITY:90CENSUS: 8DATE:
06/03/2025
UNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Director Mayra Reynoso RosalesTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff withheld snack from day care child as a form of discipline
Staff speaks to children inappropriately
INVESTIGATION FINDINGS:
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On 6/3/2025, Licensing Program Analysts (LPA), Christine Jung and Jessica Carreiro, conducted an unannounced visit to the facility to deliver findings for a complaint that was received at the Orange County Regional Child Care Licensing Office. LPAs met with Director, Mayra Reynoso Rosales and explained the reason for the visit. LPAs were led on a tour of the facility and observed a total of eight (8) children and three (3) staff.

A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.

(Go to Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
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 3
Control Number 06-CC-20250410154307
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SADDLEBACK VALLEY YMCA-TIJERAS CREEK
FACILITY NUMBER: 304270708
VISIT DATE: 06/03/2025
NARRATIVE
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(Page 2)

On 4/10/2025, the Orange County Regional Child Care Licensing Office received a complaint with the allegations listed above: Reporting Party (RP) alleged that (1) staff withheld snack from day care child as a form of discipline, (2) staff speaks to children inappropriately.

On 4/15/2025, LPA made an unannounced visit to the facility. LPA conducted interviews with five (5) staff and five (5) children. LPA also reviewed personnel files, and facility provided LPA with facility roster.

Three (3) out of ten interviewees stated that a staff member spoke inappropriately to children by raising their voice. The three interviewees stated that this staff member has raised their voice on multiple occasions when speaking to the daycare children. Four (4) out of ten interviewees corroborated a recent incident in which a staff member withheld snack, which the child brought from home, as a form of discipline.

The Orange County Regional Child Care Licensing Office has investigated the complaint alleging (1) staff withheld snack from day care child as a form of discipline, (2) staff speaks to children inappropriately. Based on information gathered from LPA’s interviews, the preponderance of evidence standard has been met, therefore the allegations are substantiated. California Code of Regulations, Title 22, Division 12 & Chapter 1, Section 101223 Personal Rights is being cited; see LIC 9099D.

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

Exit interview conducted and report was reviewed with the Director, Mayra Reynoso Rosales.
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20250410154307
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: SADDLEBACK VALLEY YMCA-TIJERAS CREEK
FACILITY NUMBER: 304270708
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/09/2025
Section Cited
CCR
101223(a)(1)
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101223(a)(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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Director stated that they will conduct a staff meeting regarding the allegation and submit training topics to LPA via email by due date.
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Based on interviews, the facility did not comply with the section cited above in that, a staff member withheld snack from a daycare child and spoke inappropriately to children, which poses a potential health, safety or personal rights risk to persons in care.
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Type B
06/09/2025
Section Cited
CCR
101223(a)(3)
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101223(a)(3) To be free from corporal or unusual punishment... including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by:
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Director stated that they will conduct a staff meeting regarding the allegation and submit training topics to LPA via email by due date.
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Based on interviews, the licensee did not comply with the section cited above in that, a staff member withheld snack from a daycare child, which poses a potential health, safety or personal rights risk to persons 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: Nguyen K Tran
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3