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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 070211880
Report Date: 06/03/2026
Date Signed: 06/03/2026 01:57:26 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
04/23/2026 and conducted by Evaluator Tasha Hackett-Alexander
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20260423155814

FACILITY NAME:YWCA OF CONTRA COSTA - HIDDEN VALLEYFACILITY NUMBER:
070211880
ADMINISTRATOR:MILLER, LISAFACILITY TYPE:
840
ADDRESS:510 GLACIERTELEPHONE:
(925) 374-2838
CITY:MARTINEZSTATE: CAZIP CODE:
94553
CAPACITY:24CENSUS: 0DATE:
06/03/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:MICHELLE WATSONTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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SUPERVISION- Staff did not ensure children were supervised at all times
INVESTIGATION FINDINGS:
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On June 3, 2026 Licensing Program Analysts (LPAs) Tasha Alexander and Nicole reynoso conducted a subsequent inspection to deliver the findings to the above complaint allegation. LPAs met with Administrator Michelle Watson and explained the purpose of the visit.

LPAs conducted observations, interviews, and record reviews and it was found that during time on the play ground, staff have been observed sitting and engaging in conversation instead of physically and visually supervising children at play. This can pose a potential health and safety risk to children in care.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations,Title 22, Division 12, Chapter number, are being cited on the attached LIC. 9099D.

An exit interview was conducted with Administrator Michelle Watson

A notice of site visit was given and must be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 02-CC-20260423155814
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: YWCA OF CONTRA COSTA - HIDDEN VALLEY
FACILITY NUMBER: 070211880
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/10/2026
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.

(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY INTERVIEWS AND OBSERVATIONS
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Staff are no longer employed with the facility. Licensee will ensure that new staff physically and visually supervise children while on the playground. Licensee will conduct a training on supervision with new staff. Licensee shall submit to CCL a written outline/plan on how the facility will physically and visually supervise children while on the playground by 6/10/26
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WHICH REVEALED STAFF ARE SITTING AND ENGAGING IN CONVERSATION AT PLAY TIME INSTEAD OF PHYSICALLY AND VISUALLY SUPERVISING CHILDREN. THIS CAN POSE A POTENTIAL HEALTH AND SAFETY RISK TO CHILDREN IN CARE
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5