073408248-3-11-2022-02-CC-MMEA-CCRP9V-20220322110743

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408248
Report Date: 03/11/2022
Date Signed: 03/11/2022 03:23:42 PM

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
03/08/2022 and conducted by Evaluator Caroline Colson

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20220308132509

FACILITY NAME:	YMCA OF THE EAST BAY - 8TH STREET CDC		FACILITY NUMBER:	073408248
ADMINISTRATOR:	KARLA SPARKS-HUNTER		FACILITY TYPE:	830
ADDRESS:	445 8TH STREET CDC		TELEPHONE:	(510) 412-3559
CITY:	RICHMOND	STATE: CA	ZIP CODE:	94801
CAPACITY:	36	CENSUS: 32	DATE:	03/11/2022
		UNANNOUNCED	TIME BEGAN:	10:02 AM
MET WITH:	Karla Sparks-Hunters		TIME COMPLETED:	03:38 PM

ALLEGATION(S):

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9

Neglect/Lack of Supervision

INVESTIGATION FINDINGS:

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On Friday, March 11, 2022, Licensing Program Analyst (LPA) Caroline Colson met with Karla Sparks-Hunters, Center director, for an unannounced complaint inspection at 10:02 AM. There are 32 infants with 9 teachers. Documentation was obtained. On March 7, 2022 in the morning, a incident occurred where an infant was climbing up a play structure located on the outside play area. The infant lost her balance and fell from the play structure and suffered a severe injury. Although two teachers were present, the teachers didn't provide direct supervision to observe the incident. Based on the LPA receiving written statements and a record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, 101229 (a)(1) is being cited on the attached LIC 9099 D.

The attached type A deficiency is being cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in the child's file to be reviewed by licensing.

An exit interview was conducted. A notice of site visit was given and posted.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

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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Control Number 02-CC-20220308132509

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: YMCA OF THE EAST BAY - 8TH STREET CDC	FACILITY NUMBER: 073408248
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/11/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/12/2022 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.	1 2 3 4 5 6 7	By POC Due Date, Licensee has closed the playground until it is safe for all children.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by document review and licensee interview. A child fell from a climbing structure without direct supervision. This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Failure to correct will result in a $100.00 per day civil penalty until corrected. Repeat violations are 250.00 per violation and $100.00 per day until corrected.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

LIC9099 (FAS) - (06/04)

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