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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423040
Report Date: 02/04/2025
Date Signed: 02/04/2025 03:26:53 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
12/11/2024 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20241211132617
FACILITY NAME:YMCA EASTLAKE CENTERFACILITY NUMBER:
013423040
ADMINISTRATOR:JESSICA BOATNERFACILITY TYPE:
850
ADDRESS:1612-45TH AVETELEPHONE:
(510) 370-2966
CITY:OAKLANDSTATE: CAZIP CODE:
94601
CAPACITY:60CENSUS: 28DATE:
02/04/2025
UNANNOUNCEDTIME BEGAN:
02:52 PM
MET WITH:Boatner, JessicaTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Staff did not prevent child from hitting another child in care
INVESTIGATION FINDINGS:
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On 2/4/25, at 2:52PM, Licensing Program Analysts (LPAs) Catherine Fernandes and Mario Caro arrived unannounced to deliver the findings to the above allegation and met with Director Jessica Boatner. Present in care were 28 preschoolers and seven additional staff members. During the investigation LPAs conducted interviews with parents, staff and children, observed the classroom, reviewed center documentation and did a walk through of the center.

An allegation was made that a child has been bullying other children, LPAs observed the classroom on 12/12/24, and 1/8/25. LPAs did not observe any bullying or anything out of the ordinary that indicated bullying. LPAs did witness a few children hit each other as a response to frustration which teachers did intervene to help the children resolve their conflict. When Interviewing children, there were a few children in the classroom that were named to have hit or made other children cry however, the parent and staff interviews indicated no concerns with bullying in class. Therefore, the complaint is Unsubstantiated,
Report Continues on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
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 02-CC-20241211132617
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: YMCA EASTLAKE CENTER
FACILITY NUMBER: 013423040
VISIT DATE: 02/04/2025
NARRATIVE
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 although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview conducted with Director
Appeal Rights, Report, Notice of Site visit provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2