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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380503900
Report Date: 08/02/2022
Date Signed: 08/02/2022 10:47:43 AM

Unsubstantiated


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
06/15/2022 and conducted by Evaluator Cindy Mok
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220615153622
FACILITY NAME:YMCA OF SF., MISSION BRANCH, MISSION PRESCHOOLFACILITY NUMBER:
380503900
ADMINISTRATOR:ALVAREZ, KATIAFACILITY TYPE:
850
ADDRESS:4080 MISSION STREETTELEPHONE:
(415) 586-6900
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:42CENSUS: 26DATE:
08/02/2022
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Katia AlverezTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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9
* Daycare child was left in soiled clothes for an extended period of time.

* Staff spoke to daycare children inappropriately while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mok conducted an unannounced inspection to finalize this complaint. LPA met with the Child Development Director, Katia Alverez. The purpose of the inspection was explained to her. There were 26 children with 6 staff present.

Based on the interviews LPA conducted and Statements collected , there was no sufficient evidence to prove the facility left the daycare child in soiled clothes for an extended period of time, and staff spoke to daycare children inappropriately while in care.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations were Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022
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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