013417825-6-8-2023-02-CC-MMEA-CTX3DZ-20230720181017

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013417825
Report Date: 06/08/2023
Date Signed: 06/08/2023 04:34:19 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/18/2023 and conducted by Evaluator Indira Loza

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20230518084436

FACILITY NAME:	BERKELEY YMCA EHS - VERA CASEY		FACILITY NUMBER:	013417825
ADMINISTRATOR:	GLORIA CROSS-BROOKS		FACILITY TYPE:	830
ADDRESS:	2246 MARTIN LUTHER KING JR WAY		TELEPHONE:	(510) 542-2146
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94710
CAPACITY:	26	CENSUS: 16	DATE:	06/08/2023
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Gloria Cross-Brooks		TIME COMPLETED:	04:39 PM

ALLEGATION(S):

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Personal Rights - Staff handled child in care in a rough manner

INVESTIGATION FINDINGS:

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On June 8, 2023 at 9:05am Licensing Program Analyst (LPA) Indira Loza and Licensing Program Manager (LPM) Mayla Mendoza met with Gloria Cross-Brooks to continue the investigation for the above allegation. Present during the inspection were 16 children and 7 fingerprint cleared staff. During the visit LPA and LPM toured the facility, interviewed staff, and collected additional documents relavent to the complaint.

During the course of the investigation, the facility was inspected for a health and safety check, collected documents regarding the complaint, interviewed staff, and parents. Based on record review, parent interviews, and staff interviews sufficient evidence was unable to be obtained. Therefore this allegation has been concluded to be Unsubstantiated. 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.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023

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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