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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423039
Report Date: 11/03/2023
Date Signed: 11/03/2023 06:22:32 PM

Unsubstantiated


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
09/01/2023 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20230901080309
FACILITY NAME:YMCA EASTLAKE CENTERFACILITY NUMBER:
013423039
ADMINISTRATOR:LOVETTE TRAMMELFACILITY TYPE:
830
ADDRESS:1612-45TH AVETELEPHONE:
(510) 370-2966
CITY:OAKLANDSTATE: CAZIP CODE:
94601
CAPACITY:34CENSUS: 8DATE:
11/03/2023
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Monica WilliamsTIME COMPLETED:
05:30 PM
ALLEGATION(S):
1
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9
Child in care sustained unexplained injuries.
INVESTIGATION FINDINGS:
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5
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13
LPA Diana Campos met with Area Manager Monica Williams for a complaint investigation regarding the above allegation. Present for the investigation were 5 staff and 8 children in care consisting of 5 toddlers and 3 infants. It was alleged that a child in care sustained unexplained injuries. During the course of the investigation, interviews were conducted. Per interviews conducted a child sustained small bruises on her knees and shins as well as scratches on her back and face. Per staff, children obtain small bruises and scratches as a result of playing or falling, and these are not always noticeable to staff if a child does not display any signs of discomfort. Per staff interviews, if an injury does occur it may be accidental. Interviews disclosed that although children have sustained occasional scratches, these minor injuries have occurred as a result of normal routines of children play time. Based on the investigative findings, there was no evidence that proved whether or not the injuries occurred while in care. In addition, there was no evidence to prove or disprove that, if the injury did occur, it was due to lack of supervision. Therefore, the allegation is unsubstantiated.

Exit interview conducted and report reviewed with Area Manager Monica Williams.
Notice of site provided and must remain posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023
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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