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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013419051
Report Date: 03/29/2023
Date Signed: 03/29/2023 02:45:43 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
02/22/2023 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230222133011
FACILITY NAME:NEWMAN, CHISHIROFACILITY NUMBER:
013419051
ADMINISTRATOR:NEWMAN, CHISHIROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 336-0299
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:14CENSUS: 9DATE:
03/29/2023
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Chishiro NewmanTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
parent disclosed that his child was injured by licensee
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/29/2023 at 1:45 PM, Licensing Program Analyst (LPA) Christina Watts conducted an unannounced Subsequent Complaint Investigation at Chishiro Newman's large family child care home. LPA met with licensee and explained the purpose of today’s inspection. During today's inspection, there were 9 children in care (2 infants and 7 preschool aged children.) and 10 children enrolled. Also present during inspection were 2 aides. The finding for the above allegation was delivered during the inspection. During the course of the investigation completed a physical plant inspection, reviewed facility records and conducted interviews. Complainant alleges that parent disclosed that his child was injured by licensee. Based on the interviews and information obtained throughout the investigation, LPA was unable to determine at this time if licensee injured a child in care. Therefore the allegation is UNSUBSTANTIATED which means 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. No Deficiency has been cited for this allegation. Exit interview conducted with licensee, Chishiro Newman. Appeal rights were provided.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECTIVE DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
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
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
02/22/2023 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230222133011

FACILITY NAME:NEWMAN, CHISHIROFACILITY NUMBER:
013419051
ADMINISTRATOR:NEWMAN, CHISHIROFACILITY TYPE:
810
ADDRESS:4445 WORDEN WAYTELEPHONE:
(510) 336-0299
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:10CENSUS: 9DATE:
03/29/2023
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Chishiro NewmanTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
licensee grabbed a child in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/29/2023 at 1:45 PM, Licensing Program Analyst (LPA) Christina Watts conducted an unannounced Subsequent Complaint Investigation at Chishiro Newman's large family child care home. LPA met with licensee and explained the purpose of today’s inspection. During today's inspection, there were 9 children in care (2 infants and 7 preschool aged children.) Also present during inspection were 2 aides. The finding for the above allegation was delivered during the inspection. During the course of the investigation completed a physical plant inspection, reviewed facility records and conducted interviews. Complainant alleges that licensee grabbed a child in a rough manner. Based on the interviews and information obtained throughout the investigation, LPA was unable to determine at this time if licensee grabbed a child by the arm while child was in care. Therefore the allegation is UNSUBSTANTIATED which means 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. No Deficiency has been cited for this allegation. Exit interview conducted with licensee, Chishiro Newman. Appeal rights were provided.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECTIVE DAYS.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
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 2