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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493010463
Report Date: 04/23/2025
Date Signed: 04/25/2025 02:42:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/04/2025 and conducted by Evaluator Glenn Ouye
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250204081719
FACILITY NAME:YWCA CHILD CARE CENTER - HEALDSBURGFACILITY NUMBER:
493010463
ADMINISTRATOR:CHERYL MOOREFACILITY TYPE:
860
ADDRESS:1557 HEALDSBURG AVENUETELEPHONE:
(707) 546-7177
CITY:HEALDSBURGSTATE: CAZIP CODE:
95448
CAPACITY:53CENSUS: DATE:
04/23/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Cheryl MooreTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not prevent day care child from wandering from the facility
Staff are not providing adequate food service to day care children
Facility did not follow reporting requirements
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Ouye conducted an unannounced visit today and met with the Director of Childcare Services, Cheryl Moore to complete the complaint investigation and deliver findings for the above allegations. During the course of the investigation from 02/12/2025 through 04/25/2025, LPA Ouye obtained documents, made observations and conducted interviews with facility staff (S1, S2, S3, S4, S5, PD). LPA Cindy Casto interview parent (P1) and LPA Leticia Rosales interviewed child (C1). LPA Ouye also made multiple attempts to interview former staff SS1 who did not answer, return call or respond to text message for an interview.
The allegation that the staff did not prevent day care child from wandering from the facility, specifically that child C1 left the outdoor play area through the rear gate. C1 was between the inner and outer fences and did not have exposure to the parking lot behind the building or the street. C1 exited the gate out of the interior outdoor play area to retrieve a balloon that had blown over the fence. The child was behind the fence for approximately 2-3 minutes. Staff were on the other side of the fence but did not notice C1 until a staff was returning to the outdoor play area from classroom and saw C1 behind the fence.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025
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 6
Control Number 01-CC-20250204081719
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: YWCA CHILD CARE CENTER - HEALDSBURG
FACILITY NUMBER: 493010463
VISIT DATE: 04/23/2025
NARRATIVE
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Staff S1 brought C1 back inside of the outdoor play area. Staff S2 said that she outside blowing up balloons and went to enter data into an iPad and did not notice C1 leaving the yard though the gate. Child C1 verbally denied leaving the outdoor play area but when asked to clarify C1 pointed to the area where he was discovered alone and said that he didn’t go outside and pointed to the area where he was found. This was between the two fenced areas where staff also said he was. Although C1 was outside of the inner fence, the teachers who were in the outdoor play area would still be able to hear C1 if C1 yelled for assistance and could have been in line of sight supervision if teachers were aware of C1.

Based on the evidence obtained through the interviews with staff S1 and S2, the preponderance of evidence standard has been met, therefore the allegation that staff did not prevent day care child from wandering from the facility is found to be substantiated. California Code of Regulation, Title 22 is being cited on an attached LIC9099-D.

While conducting staff interviews regarding the allegation that staff did not prevent day care child from wandering from the facility, Staff S1, S2, S3, S4 and S5 disclosed during the interview that SS1 (former site supervisor) told subordinate teachers and teachers aides that everyone is going to say that C1 went into the infant outdoor play area which is separated from the preschool outdoor area by a fence and gate instead of C1 going out of the gate to the dirt area behind the preschool outdoor area. SS1 told staff S1 that if SS1 reports to the Community Care Licensing what really happened that S1 would lose her teaching permit. S1 was also told by SS1 that she was going to tell the Director of Program Services that C1 went into the infant outdoor play area to conceal the truth of what occurred. When interviewed, P1 said that SS1 told her that C1 exited into the parking lot through the backside but was not told that C1 was in the infant outdoor area. SS1 employment was terminated by the facility.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 01-CC-20250204081719
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: YWCA CHILD CARE CENTER - HEALDSBURG
FACILITY NUMBER: 493010463
VISIT DATE: 04/23/2025
NARRATIVE
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The allegation that Staff are not providing adequate food service to day care children was also investigated. The DC said that she knows of one day where the milk was spoiled and was not served. The program was also short on fresh fruit. DC said that there was a breakdown between SS1 communicating with the program office on the amount of food at the center. DC said that they have accounts with Safeway, Costco and Instacart for food delivery. DC said that the new site supervisor is reviewing the food ahead of time to prevent running out of food or dealing with spoilage.

The allegation that facility did not follow reporting requirements was reviewed. The incident of C1 wandering from the facility outdoor play area occurred of on 01/30/2025. During interview, P1 said that she was told on the date of the incident that C1 left the outdoor play area. The Department was not notified until an unusual incident report was received by the Department on February 18, 2025. A telephone call or fax within the next working day and the unusual incident report sent to the Department within seven days for this type of incident is required.

Based on the evidence obtained during the interview with DC regarding the lack of fruit and spoiled milk and the late reporting of the incident which occurred on 01/30/2025, the preponderance of evidence standard has been met, therefore the allegations that staff are not providing adequate food service to day care children and facility did not follow reporting requirements are found to be substantiated. California Code of Regulations, Title 22, are being cited on an attached LIC9099-D.

Appeal rights were provided and exit interview conducted.

The Notice of Site Visit must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 01-CC-20250204081719
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: YWCA CHILD CARE CENTER - HEALDSBURG
FACILITY NUMBER: 493010463
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/25/2025
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision-No child(ren) shall be left without the supervision of a teacher at any time. This requirement was not met as evidenced by: child C1 was found outside of the outdoor preschool play area fencing but within the secondary fence based on staff admission on 1/30/25.
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The facility has completed plan of correction. Fire department has allowed the interior gate has the outdoor play area to be made inaccessible with a combination lock to clear the deficiency at time of visit.
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The child was within audible range. This poses a potential health and safety risk to the child in care.
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Type B
04/25/2025
Section Cited
CCR
101227(a)(2)
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Food Services-All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children.
This requirement was not met as evidenced by: staff interviewed indicated that milk was not served on one day in mid January 2025 dues to milk being spoiled and the program ran out of fresh fruit.
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Facility has regular food orders which can be supplemented with purchases from Costco and Safeway online as well as Instacart if any food item is needed immediately. New staff have been made aware of the availablity to clear the deficiency at the time of visit.
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This poses a potential health and safety risk to the 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: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 01-CC-20250204081719
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: YWCA CHILD CARE CENTER - HEALDSBURG
FACILITY NUMBER: 493010463
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/25/2025
Section Cited
CCR
101212(d)
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Reporting Requirements- upon occurrence of an unusual incident a report shall be made to the department by telephone within the next business day during business hour and a written report shall be submitted within 7 days following the occurrence. This requirement has not been met as evidenced
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Unusual Incident Report was submitted to the department. The delay in reporting was that the former site supervisor who was terminated did not notify the YWCA Program Office of the incident until after the regulatory time of reporting had been exceeded.
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by: the incident occurrence date was 1/30/25 and the department was notified with a unusual incident report on 02/18/2025.
This poses a potential health and safety risk to the children in care.
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The facility did submit the unusual incident report.
Deficiency cleared at time of visit.
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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: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6