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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408754
Report Date: 03/22/2023
Date Signed: 03/22/2023 11:31:49 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 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
01/26/2023 and conducted by Evaluator Caroline Colson
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230126115734
FACILITY NAME:BYMASTER, MIRNAFACILITY NUMBER:
073408754
ADMINISTRATOR:MIRNA BYMASTERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 225-8564
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY:14CENSUS: 4DATE:
03/22/2023
UNANNOUNCEDTIME BEGAN:
10:17 AM
MET WITH:Mirna BymasterTIME COMPLETED:
11:46 AM
ALLEGATION(S):
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9
Neglect/Lack of Supervision - Day care child sustained unexplained injuries due to licensee neglect
INVESTIGATION FINDINGS:
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On Wednesday, March 22, 2023 at 10:17 AM, Licensing Program Analyst (LPA) Caroline Colson met with Mirna Bymaster, Licensee, and her assistant, Elizabeth Dechard for an unannounced complaint investigation. There are two infants and two preschool children present. Documentation was obtained. A child was outside playing in the fenced back yard and suffered a minor injury while playing with a log seat. A second injury occured on another day when the same child and another child were sitting on the licensee's lap. Both children hit each others' foreheads. There was no immediately evidence that there were any injuries to either child. During the end of the day, the child had sustained a raised bump on the forehead because of the second incident. Licensee wasn't aware of the injury until the child was being picked up by the parent. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged allegation did or did not occur. Based upon the investigation, the complaint allegation is Unsubstantiated. Exit interview conducted. Appeal rights were discussed and given.

Notice of Site visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
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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