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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073406660
Report Date: 09/28/2022
Date Signed: 09/28/2022 02:57:38 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
07/25/2022 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20220725134008
FACILITY NAME:YMCA CHILDCARE- VALHALLAFACILITY NUMBER:
073406660
ADMINISTRATOR:KALIE MARSHFACILITY TYPE:
840
ADDRESS:530 KIKI DRTELEPHONE:
(925) 674-1676
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:45CENSUS: 37DATE:
09/28/2022
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Julie MendenhallTIME COMPLETED:
03:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Children threw mud in child's hair.
Child was not included in daily activities.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/28/22 at 2:15PM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced on a complaint investigation visit. LPA met with Director Julie Mendenhall. During the course of the investigation LPA Fernandes conducted interviews with children, parents and staff, LPA also reviewed center documents pertaining to the complaint allegations.

Interviews indicated conflicting information on whether or not the above allegations happened. Therefore, the allegations are UNSUBSTANTIATED. 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.


Exit interview conducted with Director Julie.
Report and Appeal Rights provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2022
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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