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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415213
Report Date: 10/25/2021
Date Signed: 10/25/2021 12:59:29 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/01/2021 and conducted by Evaluator Anna Morales
COMPLAINT CONTROL NUMBER: 07-CC-20210901111724

FACILITY NAME:YWCA CONSERVATION CORPS.FACILITY NUMBER:
434415213
ADMINISTRATOR:TAMMY TANNERFACILITY TYPE:
850
ADDRESS:1560 BERGER DRIVETELEPHONE:
(408) 295-4011
CITY:SAN JOSESTATE: CAZIP CODE:
95112
CAPACITY:71CENSUS: 18DATE:
10/25/2021
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Lucille GabrielTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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9
1. Staff yell at day care children.
2. Day care child sustained unexplained injuries while in care.
3. Day care child's diapering needs not being met.
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Anna Morales conducted a Subsequent visit to deliver the findings for the above allegations. LPA was greeted by Director Lucille Gabriel.

Complainant alleges that, Staff yell at day care children, Day care child sustained unexplained injuries while in care and Day care child's diapering needs not being met. LPA obtained information from the interviews that were conducted with the Director, teachers, parents and other parties involved. LPA, also, reviewed supporting documentation, which included the Facility Roster and diaper log.

Based on the information obtained, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. Therefore, the allegation is found to be UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021
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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