384004855-9-4-2026-05-CC-AZEA-DZ2RZS-20261020132825

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384004855
Report Date: 09/04/2026
Date Signed: 09/04/2026 04:30:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 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
07/26/2026 and conducted by Evaluator Jennifer Yee

COMPLAINT CONTROL NUMBER: 05-CC-20260726113048

FACILITY NAME:	YMCA SF/MISSION BRANCH-VILLA DE KAPUSO		FACILITY NUMBER:	384004855
ADMINISTRATOR:	TERESA NAVIDA		FACILITY TYPE:	860
ADDRESS:	2350 SAN JOSE AVENUE		TELEPHONE:	(415) 846-0933
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94112
CAPACITY:	50	CENSUS: 20	DATE:	09/04/2026
		UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Katia Alvarez		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Day care child sustained a bruise and staff has no knowledge of it

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Yee conducted a visit to the facility to close the complaint. Present at the facility were 8 staff members and 20 children. The program director, Katia arrived during the visit. During the course of the investigation, LPA interviewed four staff members and the child’s parent.
Based on the information obtained during the investigation, it remains unclear how the child sustained the reported bruise.
Based on the information gathered, the complaint finding is Unsubstantiated. Although the allegation may have occurred or may be valid, there is not a preponderance of evidence to establish that the alleged violation did or did not occur. Therefore, the allegation is determined to be unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026

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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