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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420964
Report Date: 12/19/2025
Date Signed: 12/19/2025 10:16:45 AM

Substantiated


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
10/28/2025 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20251028095050
FACILITY NAME:BERKELEY YMCA HEAD START - EMERYVILLE MARINAFACILITY NUMBER:
013420964
ADMINISTRATOR:WILLIAMS, ROCHELLE LA'RUEFACILITY TYPE:
830
ADDRESS:1275 - 61ST STTELEPHONE:
(510) 601-8674
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY:40CENSUS: 16DATE:
12/19/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Rochelle La'Rue WilliamsTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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Staff did not seek timely medical attention for infant
INVESTIGATION FINDINGS:
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On 12/19/25, at 9:00AM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced to deliver the findings to the above allegation and met with Rochelle La'Rue Williams. Present in care were 16 infants, and 13 additional staff members. During the investigation LPA Fernandes conducted interviews, observed the classrooms, reviewed center documentation regarding the allegation and did a walk through of the center.

This allegation is related to a complaint dated 9/17/2025, and has been reopened due to new evidence. Based on the center's policy around any head injury when a parent can not be reached the center should seek medical attention .Therefore, the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met.

Title 22, California Code of Regulations are being cited on the attached LIC 9099 D.
Exit interview conducted with Director
Appeal Rights, Report, Notice of Site visit provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
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 02-CC-20251028095050
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BERKELEY YMCA HEAD START - EMERYVILLE MARINA
FACILITY NUMBER: 013420964
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/05/2026
Section Cited
CCR
101226(c)
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Health-Related Services: The licensee shall obtain emergency medical treatment without specific instructions from the child's authorized representative if the authorized representative cannot be reached immediately.. This requirement has not been met as evidenced by:
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The center will come up with a plan to ensure the incident does not reoccur then send it to CCL by POC date.
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Based on documentation the center did not get medical attention for the child in care which is a potential safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2