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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701470
Report Date: 08/26/2024
Date Signed: 08/26/2024 09:53:47 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2024 and conducted by Evaluator JoAnn R Legaspi
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20240711145752
FACILITY NAME:COPLEY-PRICE FAMILY YMCA-INFANT PROGRAMFACILITY NUMBER:
376701470
ADMINISTRATOR:CRISTINA JIMENEZFACILITY TYPE:
830
ADDRESS:4300 EL CAJON BOULEVARDTELEPHONE:
(619) 280-9622
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:32CENSUS: 13DATE:
08/26/2024
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Cristina JimenezTIME COMPLETED:
08:30 AM
ALLEGATION(S):
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Due to lack of supervision, child received injuries
INVESTIGATION FINDINGS:
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On August 26, 2024, at 8:15 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an inspection to conclude the investigation regarding the above complaint allegation. LPA advised Director Cristina Jimenez of the inspection's purpose and was granted facility entry. There were eight (8) children (age 6 weeks to 24 months) in the Infant Room with three (3) staff members. There were five (5) children (ages 18 months to 24 months) in Room 1 with two (2) staff members.

It was alleged that due to lack of supervision a child received injuries. Licensing, facility and source records were reviewed. Facility tours and surveillance were conducted. No viable statements could be obtained from the infants. Daycare parents, director and facility staff were interviewed. Staff and the director denied any child has received injuries as a result of absent staff supervision.

Due to conflicting information received during the course of the investigation, the allegation that due to




Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2024
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 2
Control Number 20-CC-20240711145752
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: COPLEY-PRICE FAMILY YMCA-INFANT PROGRAM
FACILITY NUMBER: 376701470
VISIT DATE: 08/26/2024
NARRATIVE
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a lack of supervision a child received injuries has been determined to be unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies cited.

A notice of site visit was given to the facility representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Licensee/Appeal Rights (LIC 9058) was provided to Director Jimenez. Exit interview conducted and report was reviewed with the facility representative Director Cristina Jimenez.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2