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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493010463
Report Date: 04/25/2025
Date Signed: 04/25/2025 02:50:13 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
04/22/2025 and conducted by Evaluator Glenn Ouye
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250422144628
FACILITY NAME:YWCA CHILD CARE CENTER - HEALDSBURGFACILITY NUMBER:
493010463
ADMINISTRATOR:AYLA OXLEYFACILITY TYPE:
860
ADDRESS:1557 HEALDSBURG AVENUETELEPHONE:
(707) 546-7177
CITY:HEALDSBURGSTATE: CAZIP CODE:
95448
CAPACITY:53CENSUS: DATE:
04/25/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Cheryl MooreTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff left child unattended for an extended period of time
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Ouye arrived unannounced to initiate a complaint investigation. LPA conducted interviews with staff S1 who discovered C1 in the outdoor preschool play are without supervision. LPA also viewed video of the child being alone in the play area on a video provided by the City of Healdsburg Community Service Department which shows the child alone in the outdoor play area from 4:00pm to 4:08pm at which point staff S1heard the child playing and saying hi to S1. S1 said that child C1 was not appear to be in distress and was playing in an outdoor play house. The Program Director confirmed that the child was in the preschool play area without supervision for the specified time stamp on the video from the City of Healdsburg. The Program Director said that a count of children and a sweep check for any children in the outdoor play area was not done which lead to C1 being outside for 8 minutes.
Substantiated
Estimated Days of Completion:
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
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 3
Control Number 01-CC-20250422144628
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: 04/25/2025
NARRATIVE
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Based on interviews with staff and the review of video from the City of Healdsburg it has been determined that there was an absence of supervision of child C1. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, is being cited on the attached LIC 9099-D.


The following is a violation of the Health and Safety Code 1596.99(c)(3): see LIC 9099D. A civil penalty of $500 is being assessed. Appeal rights were provided.

Exit interview was conducted which documents one Type A citation and was reviewed with the Director of Childcare Services Cheryl Moore who was informed that Type A citations shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

LPA Ouye informed the facility representative to provide a copy of this licensing report dated 04/25/2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolling parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain 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: 2 of 3
Control Number 01-CC-20250422144628
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: 04/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/28/2025
Section Cited
HSC
1596.99(c)(3)
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The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation, for any of the following serious violation:
Absence of supervision, including but not limited to, a child left unattended...
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The Director of Childcare Services agrees to submit a written plan to the department by COB 4/28/25 detailing steps that have been implemented to comply with supervision
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This requirement has not been met as evidenced by: Based on interview with staff S1 and video of child alone in outdoor play yard without any staff for 8 minutes on 4/9/25 which poses an immediate health, safety and or personal rights risk to the child in care.
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requirements, including staff trainings and updates to staff awareness to prevent a reoccurance of an absence or lack of supervision.
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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: 3 of 3