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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334841725
Report Date: 03/01/2022
Date Signed: 03/01/2022 04:27:02 PM

Unsubstantiated


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
01/26/2022 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220126134435
FACILITY NAME:CORONA-NORCO FAMILY YMCA YOUTH CENTER AT JURUPAFACILITY NUMBER:
334841725
ADMINISTRATOR:VOELTZ, MARTHAFACILITY TYPE:
850
ADDRESS:9254 GALENA STREETTELEPHONE:
(951) 685-5241
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:164CENSUS: 35DATE:
03/01/2022
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Mattie Creamer, Site DirectorTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Facility does not follow safe food handling practices.
INVESTIGATION FINDINGS:
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On 03/01/2022 at 2:30PM Licensing Program Analyst (LPA) Giselle Carbullido conducted an unannounced visit regarding a complaint received concerning the above allegation. On 01/28/22 and 2/9/22 previous visits were conducted regarding the complaint, on those visits, interviews were conducted, records and photos were obtained. During today's visit, LPA conducted addtional interviews and met with Mattie Cramer, Site Director to further discuss the complaint allegation(s) and deliver findings.
Facility does not follow safe food handling practices. It was alleged staff use their hands to divide sandwiches and redistributes sandwiches if a child chooses not to eat. LPA interviewed nine children and seven staff. Children and staff interviews stated staff wear gloves when serving food. Additionally, Staff stated food items are wrapped in individual portions by the kitchen staff. Staff and children interviewed stated knives are used to cut the left-over sandwiches. One staff and one child interviewed stated a teacher used gloved hands to divide a sandwich when serving extras/leftovers. LPA toured the kitchen area. LPA observed staff wearing masks and gloves during preparation of meals. In addition, LPA observed the area free of vermin/insects and debris. LPA observed the food served was in accordance to menu posted. Kitchen staff reported unused food is returned to
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: 1 of 6
Control Number 09-CC-20220126134435
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: 334841725
VISIT DATE: 03/01/2022
NARRATIVE
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the kitchen then disposed of. During visit on 1/28/22, LPA observed Quesadillas, apples and broccoli served in individual portions. On 2/9/22, LPA observed turkey and cheese wraps served individually, along with fruit and crackers; including servings of additional portions to children who requested more food. On both visits, LPA did not observe any food returned and/or given to another child.

Due to conflicting information from interviews and what was reported, LPA was unable to determine if facility did not follow safe food handling practices. Although the allegations may have happened or is valid there is not enough preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are 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 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 6