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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700142
Report Date: 03/04/2021
Date Signed: 03/04/2021 10:45:45 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/23/2020 and conducted by Evaluator Keturah Lane
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20201223155429
FACILITY NAME:TOBY WELLS YMCA DEVELOPMENTAL PRESCHOOLFACILITY NUMBER:
376700142
ADMINISTRATOR:TALANA LUGOFACILITY TYPE:
850
ADDRESS:5105 OVERLAND AVENUETELEPHONE:
(858) 496-9622
CITY:SAN DIEGOSTATE: CAZIP CODE:
92123
CAPACITY:75CENSUS: 36DATE:
03/04/2021
UNANNOUNCEDTIME BEGAN:
10:12 AM
MET WITH:Talana LugoTIME COMPLETED:
10:25 AM
ALLEGATION(S):
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Children are left without supervision
INVESTIGATION FINDINGS:
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On 3/4/21 at 10:12 AM, Licensing Program Analysts (LPAs) Keturah Lane and LeAndra Dolliole conducted an unannounced complaint tele-inspection due to COVID-19 to deliver findings regarding the above allegation. LPAs met with Director Talana Lugo via Zoom. Census was 12 children in Room 2 with staff member Leslie Palacios, 12 children in Room 3 with staff member Alejandra Partida and 12 children in Room 4 with staff members Johnny Walker and Leonor Baldonado.

The Department fully investigated the above allegation and obtained information from the facility file review, facility documents, and interviews with staff, children and parents. Based upon this information, although the allegation that children are left without supervision may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred and is therefore UNSUBSTANTIATED. (continued on LIC9099-C…)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021
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 2
Control Number 51-CC-20201223155429
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: TOBY WELLS YMCA DEVELOPMENTAL PRESCHOOL
FACILITY NUMBER: 376700142
VISIT DATE: 03/04/2021
NARRATIVE
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An exit interview was conducted with the Director. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) will be sent along with the report (LIC9099) via e-mail to the Licensee. Licensee will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights. The Notice of Site Visit (LIC9213) must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2