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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700788
Report Date: 09/29/2026
Date Signed: 09/29/2026 04:34:35 PM

Document Has Been Signed on 09/29/2026 04:34 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:YMCA OF METRO LA/BURBANK CDCFACILITY NUMBER:
195700788
ADMINISTRATOR/
DIRECTOR:		CLAUDIA VALDESFACILITY TYPE:
860
ADDRESS:332 SAN JOSE AVETELEPHONE:
(818) 845-8551
CITY:BURBANKSTATE: CAZIP CODE:
91502
CAPACITY: 88TOTAL ENROLLED CHILDREN: 88CENSUS: 28DATE:
09/29/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:56 AM
MET WITH:CLAUDIA VALDES, DIRECTORTIME VISIT/
INSPECTION COMPLETED:
04:50 PM
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On 09/29/2026 Licensing Program Analysts (LPA) Laticia Thompson met with Claudia Valdes, Director. The purpose of today's unannounced pre-licensing visit is to make measurement adjustments based on the revised facility sketch. This report reflects changes to classroom #7 usage from Preschool children to Infants. The application is for a Single License with a Total capacity of 88; 24 infants ages birth-24 months, 32 Toddlers 18-36 months and 32 Preschoolers ages 2 years into entry of 1st grade. LPA inspected on limit classrooms within the facility. There were 28 children present, facility is within staff to children ratio. Classrooms 1, 2 and 7 are dedicated to the infants with access to 6 sinks, 2 toilets and 2 changing tables. Classrooms 3 and 4 are dedicated to Toddlers with access to 4 sinks, 2 toilets and 2 changing tables. Classrooms 5 and 6 are dedicated to Preschoolers with access to a total of 4 sinks and 2 toilets.

Based on classroom changes Infants Indoor measurements contain a total 1,549.91 square feet, which will accommodate applicants request for a total of 24 infants.Preschool Indoor measurements contain a total 1,134.94 square feet, which will accommodate applicants request for a total of 32 Preschool Children. Preschool children will have access to 4 sinks and 2 toilets which limits the total of Preschool Children Capacity to 30 Children. Toddlers Indoor measurements contain a total of 1,090.66 square feet, which will accommodate a total of is 31 Toddlers.

Belinda Devall
Laticia S Thompson
DATE: 09/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2026
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 5
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: YMCA OF METRO LA/BURBANK CDC
FACILITY NUMBER: 195700788
VISIT DATE: 09/29/2026
NARRATIVE
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Infants outdoor measurements total 1,581.27 square footage which will not accommodate 24 infants. Based on measurement the facility capacity limit for outdoor space is 21 children. The facility does not have separate outdoor space for Toddlers

Preschool outdoor measurements totals are 3,327.84 square footage which will accommodate 32 Preschool children.

During todays visit LPA observed the following regulation violation in which 2 Type B violations were issued:

Facility was not able to provide proof of receipt of LIC 9224 H&S Code 1596.859(c)(3). LPA observed 9 Toddlers being supervised by 2 staff members in the Preschool Outdoor Activity Space (see page D)

LPA requested to review children files, facility was unable to provide ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC 9224) for newly enrolled and currently enrolled children which is a violation of H&S code 1596.8595 (c)(3)The licensee shall require each recipient of the licensing report described in paragraph (1) pertaining to a complaint investigation to sign a statement indicating that he or she has received the document and the date it was received.

101438.2 (b) Outdoor Activity Space for Infants Outdoor activity space shall be physically separate from space used by children in the child care center and school-age child care center components.

LPA observed corrections to the following;

  • A Gate Installed within Infant Outdoor Activity Area.
  • Rugs have been Cleaned with the exception of classroom #4
  • Changing tables are within arms reach of a sink
  • Room #2 and #7 are equipped with age appropriate toys and equipment
  • Activity Schedules are posted in all Classrooms
  • 3 additional cribs installed in Room #2 (pending sound absorbing wall for napping)
NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Laticia S Thompson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/29/2026 04:34 PM - It Cannot Be Edited


Created By: Laticia S Thompson On 09/29/2026 at 04:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: YMCA OF METRO LA/BURBANK CDC
FACILITY NUMBER: 195700788

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/29/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
158595(c)(3)


This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/30/2026
Plan of Correction
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Director will ensure a copy of signed LIC 9224 in all enrolled and newly enrolled children files.
Type B
Section Cited
CCR
101438.2(b)


This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's observation of Toddler Children and staff engage in activities on Preschool Outdoor activity space, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/29/2026
Plan of Correction
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Director will not allow Toddlers in Preschool Outdoor Activity until submission and approval of waiver.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Belinda Devall
NAME OF LICENSING PROGRAM MANAGER:
Laticia S Thompson
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/29/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/29/2026


LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: YMCA OF METRO LA/BURBANK CDC
FACILITY NUMBER: 195700788
VISIT DATE: 09/29/2026
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The following corrections are pending:

Pictures of Outdoor Infant Area with Age appropriate play equipment showing removal Non age appropriate table/bench.
Provide an updated facility sketch to include outdoor area located near room #7
Outdoor Waiver Request for alternating schedules for infants and sharing of Toddler Space. Waiver requesting usage of sleep sacks. Director was provided Safe Sleep frequently asked questions which addresses sleep sacks.
Pictures of Wall Installation within Napping Area of Classroom #2
Cleaning of rugs in Classroom #4.

An exit interview was conducted with plan of corrected items discussed. LPA provided Director with appeal rights and a copy of this report. Final license determination will be made upon review by the Licensing Program Manager and corrections.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Laticia S Thompson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2026
LIC809 (FAS) - (06/04)
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