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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 03:29:31 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
12/06/2024 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20241206142554
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:Jessica BoatnerTIME COMPLETED:
03:40 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Child was injured in care due to lack of supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
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, observed the classrooms, reviewed and obtained center documents regarding the allegation and did a walk through of the center.
An allegation was made regarding an injury due to a lack of supervision while the toddlers were outside in the play area. Interviews indicated that the child arrived to the center with a previous injury that occurred outside of the center, and that while at the center another child picked off the scab resulting in bleeding. An injury did occur and staff did not observe the exact moment when the injury happened. However, staff interviews indicated the injury was not a result of lack of supervision because the supervision requirements were met and when the child started crying staff members immediately provided care, therefore the allegation is unsubstantiated, 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 due to a lack of supervision.
Exit interview conducted with Director Appeal Rights, Report, Notice of Site visit provided
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)
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