<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360907960
Report Date: 06/26/2024
Date Signed: 06/26/2024 11:12:57 AM

Document Has Been Signed on 06/26/2024 11:12 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHINO FAMILY YMCA - GIRD SITEFACILITY NUMBER:
360907960
ADMINISTRATOR/
DIRECTOR:		RUIZ,AMYFACILITY TYPE:
840
ADDRESS:4980 RIVERSIDE DRIVETELEPHONE:
(909) 590-3583
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY: 80TOTAL ENROLLED CHILDREN: 36CENSUS: 32DATE:
06/26/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Sherry Riley - Acting Site Director and Sandra Robles, Childcare Director TIME VISIT/
INSPECTION COMPLETED:
11:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analysts (LPA) Rachel Zeron conducted a case management inspection due to required lead testing requirements based on lead testing results received on the facility. LPA toured the facility, took census and met with Sherry Riley, Acting Director to further discuss lead results received and measures taken for remediation of lead exceedances.

During the inspection, LPAs toured and observed the following water outlets identified with lead exceedances: Outlet A located in the staff bathroom (tested at 7.2 ppb) was identified; LPAs verified that the required signage for cessation of use was in place. The sink is located in the staff bathroom and has never been used for the children in care.

Facility implemented the following plan of action until formal remediation can be completed on water outlet A, the faucet is the process of being replaced. Children bring their own water bottle from home and the facility provides bottled waters and filtered water as needed.

No deficiencies were cited.



An exit interview was conducted, and a copy of this report and a Notice of Site Visit (required to be posted for the next 30 days) was provided to the Director, Sherry Riley. This report must be made available to the public upon request for three years.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1