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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073407425
Report Date: 06/02/2022
Date Signed: 06/02/2022 06:11:20 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
05/12/2022 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20220512145306
FACILITY NAME:BABY YALE ACADEMYFACILITY NUMBER:
073407425
ADMINISTRATOR:LITA REEVESFACILITY TYPE:
830
ADDRESS:5521 LONE TREE WAYTELEPHONE:
(925) 308-7693
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:66CENSUS: 6DATE:
06/02/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:NICOLE MORAN-ESTRADATIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Day care child received an injury while in care
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Cherie Acosta and Diana Campos conducted an unannounced visit to investigate the above allegation.

During the investigation LPAs conducted interviews. Based on interviews conducted LPAs were not able to prove how or where child in care received the injury.

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, therefore the allegation is deemed unsubstantiated.
Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Nicole Moran-Estrada. Lita Reeves was on FaceTime call during exit interview.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
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 6
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
05/12/2022 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20220512145306

FACILITY NAME:BABY YALE ACADEMYFACILITY NUMBER:
073407425
ADMINISTRATOR:LITA REEVESFACILITY TYPE:
830
ADDRESS:5521 LONE TREE WAYTELEPHONE:
(925) 308-7693
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:66CENSUS: 6DATE:
06/02/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Nicole Moran-EstradaTIME COMPLETED:
06:15 PM
ALLEGATION(S):
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9
Day care did not inform authorized representative of incident
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Cherie Acosta and Diana Campos conducted an unannounced visit to investigate the above allegation.

During the investigation LPAs conducted interviews. Based on interviews conducted LPAs were not able to prove how or where child in care received injury. Facility staff stated that an incident report was not initially completed as they were not aware of the injury until parent brought it to their attention.
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, therefore the allegation is deemed unsubstantiated.
Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Nicole Moran-Estrada. Lita Reeves was on FaceTime call during exit interview.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
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
05/12/2022 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20220512145306

FACILITY NAME:BABY YALE ACADEMYFACILITY NUMBER:
073407425
ADMINISTRATOR:LITA REEVESFACILITY TYPE:
830
ADDRESS:5521 LONE TREE WAYTELEPHONE:
(925) 308-7693
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:66CENSUS: DATE:
06/02/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Nicole Moran-EstradaTIME COMPLETED:
06:15 PM
ALLEGATION(S):
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9
Parents are not allowed in the day care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cherie Acosta and Diana Campos conducted an unannounced visit to investigate the above allegation.

During the investigation LPAs conducted interviews. It was reported that parents are not allowed in the facility. Parents have not been coming in the facility due to COVID-19 restrictions, however facility staff state that they have not denied parents entry upon request.

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, therefore the allegation is deemed unsubstantiated.
Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Nicole Moran-Estrada. Lita Reeves was on FaceTime call during exit interview.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
05/12/2022 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20220512145306

FACILITY NAME:BABY YALE ACADEMYFACILITY NUMBER:
073407425
ADMINISTRATOR:LITA REEVESFACILITY TYPE:
830
ADDRESS:5521 LONE TREE WAYTELEPHONE:
(925) 308-7693
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:66CENSUS: DATE:
06/02/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:TIME COMPLETED:
06:15 PM
ALLEGATION(S):
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3
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9
Blanket was in crib with sleeping baby
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Cherie Acosta and Diana Campos conducted an unannounced visit to investigate the above allegation.

During the investigation LPAs conducted interviews.

Based on the investigation it is determined that an infant in care was sleeping in a crib with a blanket.
Based on interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is to be substantiated.

Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Nicole Moran-Estrada. Lita Reeves was on FaceTime call during exit interview.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 02-CC-20220512145306
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: BABY YALE ACADEMY
FACILITY NUMBER: 073407425
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/16/2022
Section Cited
CCR
101439.1(f)
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Infant Care Center Sleeping Equipment. Cribs shall be free from all loose articles and objects, including blankets and pillows. This requirement was not met as evidenced by:
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Staff shall receive training on safe sleep. Proof of training shall be provided to CCL by 6/16/22
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an infant in care was sleeping with a blanket which poses a potential risk to the health and safety of child in care.
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• Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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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: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 6