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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334841725
Report Date: 11/14/2022
Date Signed: 11/28/2022 01:57:51 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
10/24/2022 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20221024115705
FACILITY NAME:CORONA-NORCO FAMILY YMCA YOUTH CENTER AT JURUPAFACILITY NUMBER:
334841725
ADMINISTRATOR:MATTIE CRAMERFACILITY TYPE:
850
ADDRESS:9254 GALENA STREETTELEPHONE:
(951) 685-5241
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:164CENSUS: 47DATE:
11/14/2022
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Kim JohnsonTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff grabbed child by the arm
Staff yelled at child
INVESTIGATION FINDINGS:
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Licensing program analyst (LPA) Giselle Carbullido conducted a subsequent complaint investigation to deliver final findings in regard to the above allegations. LPA toured facility, obtained census, and met with the Director Kim Johnson to further discuss the complaint allegations and deliver findings.

During the course of the investigation, LPA toured the facility and interviewed all pertinent parties involved.
Staff grabbed child by the arm. It was reported that a child was grabbed, yanked, and moved across the floor to the bathroom by staff and another child was grabbed by the arm to prevent them from playing outside.

LPA interviewed nine staff and five children including alleged children involved in incidents. All children interviews denied being pulled or grabbed by teachers. Staff interviews denied grabbing and pulling on children and reported a parent concern when a child was guided away by the arm from playing on the large, school age play structure for safety.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
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 2
Control Number 09-CC-20221024115705
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: 11/14/2022
NARRATIVE
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Staff yelled at child. It was reported that a teacher was observed screaming at a child.

LPA interviewed nine staff and five children including alleged child involved in the incident. All interviews denied teachers yelling at children. Interview with child denied a teacher yelled at them as reported and disclosed they like and are happy at the daycare.

Due to information obtained, LPA was unable to determine if staff yelled or mishandled children by grabbing them by the arm roughly from what was reported. Therefore, the evidence collected was not sufficient to substantiate or refute the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Appeal rights issued and discussed with licensee and their signature on this form acknowledges receipt of these rights.

An exit interview was conducted, a copy of this report and Notice of Site Visit was provided to the Director Kim Johnson. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2