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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073405655
Report Date: 03/09/2023
Date Signed: 03/09/2023 12:11:11 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
02/01/2023 and conducted by Evaluator Melissa Guirit
COMPLAINT CONTROL NUMBER: 02-CC-20230201144917
FACILITY NAME:YMCA OF THE EAST BAY - GIANT ROAD CDCFACILITY NUMBER:
073405655
ADMINISTRATOR:VALERIE DADEFACILITY TYPE:
850
ADDRESS:919 LAKE STREETTELEPHONE:
(510) 235-1840
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY:36CENSUS: 18DATE:
03/09/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Valerie DadeTIME COMPLETED:
11:25 AM
ALLEGATION(S):
1
2
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9
Staff hit day care child
INVESTIGATION FINDINGS:
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2
3
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5
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8
9
10
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12
13
On 03/09/23, Licensing Program Analysts (LPAs) Melissa Guirit and Melissa Domantay conducted an Unannounced Complaint Investigation and met with Director, Valerie Dade. The LPAs inspected the facility. Complaint allegation is that staff hit day care child. Based on LPAs staff and children interviews, the allegation is UNSUBSTANTIATED due to stated discplines policies by staff. 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 UNSUBSTANTIATED. No Deficiencies have been cited for the allegation.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director, Valerie Dade.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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