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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010213011
Report Date: 08/18/2023
Date Signed: 08/18/2023 01:12:49 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/02/2023 and conducted by Evaluator Christina Uribe
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20230802120239
FACILITY NAME:YMCA OF THE EAST BAY Y-KIDS CASTRO VALLEYFACILITY NUMBER:
010213011
ADMINISTRATOR:WILLIAMS, LATASHIAFACILITY TYPE:
840
ADDRESS:20185 SAN MIGUEL AVENUETELEPHONE:
(510) 881-4458
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY:40CENSUS: 22DATE:
08/18/2023
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Moriah WaltonTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff refused to fill daycare children's water bottle
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/18/2023 at 12:15pm, Licensing Program Analyst (LPA) Christina Uribe conducted an unannounced visit for the purpose of investigating a complaint regarding the above allegation of a personal rights violation and met with Director, Moriah Walton. Also present at the time of today’s inspection are 4 staff and 22 children.

This agency has investigated the complaint alleging that staff refused to fill daycare children's water bottle. LPA Uribe conducted interviews and observations which have been documented and reviewed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with director, Moriah Walton.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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