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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423735
Report Date: 10/29/2024
Date Signed: 10/29/2024 10:21:34 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
08/28/2024 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20240828121619
FACILITY NAME:YMCA OF THE EAST BAY-M.ROBINSON BAKER EARLYFACILITY NUMBER:
013423735
ADMINISTRATOR:MELANIE MUELLERFACILITY TYPE:
830
ADDRESS:3265 MARKET STREETTELEPHONE:
(510) 640-5836
CITY:OAKLANDSTATE: CAZIP CODE:
94608
CAPACITY:32CENSUS: 26DATE:
10/29/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Emily YuTIME COMPLETED:
10:35 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day care child sustained unexplained injury while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) J. Vargas and D. Campos met with Site Supervisor Emily Yu for a subsequent complaint investigation regarding the above allegation. Present were 10 staff and 26 children in care consisting of 5 infants and 21 toddlers. Also present during this visit was Area Manager Basha Williams. It was alleged that a day care child sustained unexplained injury while in care. During the course of the investigation, interviews were conducted and files and records reviewed. Based on the investigative findings, there was no evidence to determine whether or not day care child sustained unexplained injury while in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated at this time.

Notice of Site Visit provided must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
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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