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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494851
Report Date: 08/18/2022
Date Signed: 08/18/2022 04:44:25 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/27/2022 and conducted by Evaluator Miriam Cohen
COMPLAINT CONTROL NUMBER: 30-CC-20220627115142
FACILITY NAME:BURBANK YMCA CHILDRENS CENTER PRESCHOOLFACILITY NUMBER:
197494851
ADMINISTRATOR:ANGELA BUCKFACILITY TYPE:
850
ADDRESS:3401 SCOTT RDTELEPHONE:
(818) 729-1650
CITY:BURBANKSTATE: CAZIP CODE:
91504
CAPACITY:146CENSUS: 27DATE:
08/18/2022
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:REBECCA KELLY-GARCIA, DIRECTORTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Staff engaged in inappropriate interactions with day care children
Day care child sustained injury while in care
INVESTIGATION FINDINGS:
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On 08/18/2022 @ 2:00 PM, LPA Cohen conducted an unannounced visit for the purpose of delivering the findings against alleged complaints reported concerning the above preschool. Upon arrival, LPA Cohen observed five adults providing care for 27 children. LPA Cohen met with preschool director Rebecca Kelly-Garcia. After conducting multiple interviews with eight staff members (written declarations obtained) the following conclusion has been reached: Unsubstantiated - A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

On 07/01/2022 @ 2:15 PM, Licensing Program Analyst (LPA) Miriam Cohen conducted an unannounced complaint visit for the purpose of notifying the preschool director concerning the above-mentioned allegation and to perform an investigation. Upon arrival, LPA Cohen observed six adults providing care for 32 children. LPA Cohen met with preschool director, Rebecca Kelly.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
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 30-CC-20220627115142
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BURBANK YMCA CHILDRENS CENTER PRESCHOOL
FACILITY NUMBER: 197494851
VISIT DATE: 08/18/2022
NARRATIVE
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LPA acquired the following documentation: *Children Roster with Emergency ID; *Written declaration from seven staff members. LPA toured the facility and interviewed seven staff members (written declarations obtained); however, further witnesses and documentation will be needed to conclude the investigation. An exit interview was conducted with the above items discussed with preschool director.

The investigation regarding the above allegations has been completed. No deficiencies will be issued.
An exit interview was conducted with the above items discussed with preschool director. A copy of this report was provided.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2