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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409597
Report Date: 09/23/2024
Date Signed: 09/23/2024 11:06:26 AM

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
08/27/2024 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240827091349
FACILITY NAME:YMCA OF THE EAST BAY FAIRGROUNDSFACILITY NUMBER:
073409597
ADMINISTRATOR:CARRILLO, RAMONAFACILITY TYPE:
860
ADDRESS:1203 WEST 10TH STREETTELEPHONE:
(925) 450-6952
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:126CENSUS: 57DATE:
09/23/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Ramona CarrilloTIME COMPLETED:
11:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not properly report an incident involving a daycare child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/23/2024 at 9:35 AM, Licensing Program Analyst (LPA) Christina Watts conducted an unannounced Subsequent Complaint Investigation at YMCA of the East Bay - Fairgrounds. LPA met with Director, Ramona Carrillo and explained the purpose of today’s inspection. During today's inspection, there were 57 children (23 infants and 34 preschoolers) with 23 staff in 3 buildings. Director stated there were 76 children enrolled. The finding for the above allegation was delivered during the inspection. Complainant alleges that Staff did not properly report an incident involving a daycare child. During the course of the investigation completed a physical plant inspection, reviewed facility records and conducted interviews. LPA could not determine at this time whether an incident did or did not occur in the facility that required to be reported to a parent/authorized representative or licensing. Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means 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. No Deficiency has been cited for this allegation. Exit interview conducted with Director, Ramona Carrillo and Area Manager Birdie Winrow. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECTIVE DAYS.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
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 4
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
08/27/2024 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240827091349

FACILITY NAME:YMCA OF THE EAST BAY FAIRGROUNDSFACILITY NUMBER:
073409597
ADMINISTRATOR:CARRILLO, RAMONAFACILITY TYPE:
860
ADDRESS:1203 WEST 10TH STREETTELEPHONE:
(925) 450-6952
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:76CENSUS: 57DATE:
09/23/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Ramona CarrilloTIME COMPLETED:
11:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are mishandling the daycare children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/23/2024 at 9:35 AM, Licensing Program Analyst (LPA) Christina Watts conducted an unannounced Subsequent Complaint Investigation at YMCA of the East Bay - Fairgrounds. LPA met with Director, Ramona Carrillo and explained the purpose of today’s inspection. During today's inspection, there were 57 children (23 infants and 34 preschoolers) with 23 staff in 3 buildings. Director stated there were 76 children enrolled. The finding for the above allegation was delivered during the inspection. Complainant alleges that Staff are mishandling the daycare children. During the course of the investigation completed a physical plant inspection, reviewed facility records and conducted interviews. LPA could not determine at this time if staff are mishandling the daycare children. Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means 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. No Deficiency has been cited for this allegation. Exit interview conducted with Director, Ramona Carrillo and Area Manager, Birdie Winrow. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECTIVE DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
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 4
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
08/27/2024 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240827091349

FACILITY NAME:YMCA OF THE EAST BAY FAIRGROUNDSFACILITY NUMBER:
073409597
ADMINISTRATOR:CARRILLO, RAMONAFACILITY TYPE:
860
ADDRESS:1203 WEST 10TH STREETTELEPHONE:
(925) 450-6952
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:76CENSUS: 57DATE:
09/23/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Ramona CarrilloTIME COMPLETED:
11:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff is not providing adequate care and supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/23/2024 at 9:35 AM, Licensing Program Analyst (LPA) Christina Watts conducted an unannounced Subsequent Complaint Investigation at YMCA of the East Bay - Fairgrounds. LPA met with Director, Ramona Carrillo and explained the purpose of today’s inspection. During today's inspection, there were 57 children (23 infants and 34 preschoolers) with 23 staff in 3 buildings. Director stated there were 76 children enrolled. The finding for the above allegation was delivered during the inspection. Complainant alleges that Staff are not providing adequate care and supervision. During the course of the investigation completed a physical plant inspection, reviewed facility records and conducted interviews. LPA could not determine at this time whether a lack of supervision occurred in the facility. Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means 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. No Deficiency has been cited for this allegation. Exit interview conducted with Director, Ramona Carrillo and Area Manager, Birdie Winrow. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECTIVE DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
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 4
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
08/27/2024 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240827091349

FACILITY NAME:YMCA OF THE EAST BAY FAIRGROUNDSFACILITY NUMBER:
073409597
ADMINISTRATOR:CARRILLO, RAMONAFACILITY TYPE:
860
ADDRESS:1203 WEST 10TH STREETTELEPHONE:
(925) 450-6952
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:76CENSUS: 57DATE:
09/23/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Ramona CarrilloTIME COMPLETED:
11:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Daycare child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/23/2024 at 9:35 AM, Licensing Program Analyst (LPA) Christina Watts conducted an unannounced Subsequent Complaint Investigation at YMCA of the East Bay - Fairgrounds. LPA met with Director, Ramona Carrillo and explained the purpose of today’s inspection. During today's inspection, there were 57 children (23 infants and 34 preschoolers) with 23 staff in 3 buildings. Director stated there were 76 children enrolled.The finding for the above allegation was delivered during the inspection. Complainant alleges that Daycare child sustained unexplained injuries while in care. During the course of the investigation completed a physical plant inspection, reviewed facility records and conducted interviews. While it was determined that C1 did sustained an injury, LPA could not determined if said injury occured in the facility. Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means 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. No Deficiency has been cited for this allegation. Exit interview conducted with Director, Ramona Carrillo and Area Manager Birdie Winrow. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECTIVE DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
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 4