380503900-5-21-2019-05-CC-AMAG-BDZT7L-20190712142853

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380503900
Report Date: 05/21/2019
Date Signed: 05/21/2019 01:02:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/16/2019 and conducted by Evaluator Jennifer Yee

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20190516114214

FACILITY NAME:	YMCA OF SF., MISSION BRANCH, MISSION PRESCHOOL		FACILITY NUMBER:	380503900
ADMINISTRATOR:	ALVAREZ, KATIA		FACILITY TYPE:	850
ADDRESS:	4080 MISSION STREET		TELEPHONE:	(415) 586-6900
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94112
CAPACITY:	42	CENSUS: 39	DATE:	05/21/2019
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Katia Alvarez		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Lack of supervision resulting in inappropriate interactions between children in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst, LPA Yee conducted an inspection to open this complaint. There are seven staff members and 39 children on site today. LPA interviewed complainant, 3 staff members, and reviewed records. The incident occurred at the end of the day on 5/3/2019 at the play yard. The children were relocated to the play structure areas and the sand areas were closed off with green cones. One staff did a walkthrough in the sand areas to ensure no children were left behind. At that time the staff observed inappropriate interactions between two children and stopped the incident. The children behavior was inappropriate however, it was not due to lack of supervision based on the statements gathered. Therefore, this complaint is closed as inconclusive.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer Yee	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019

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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