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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013419051
Report Date: 10/05/2023
Date Signed: 10/05/2023 02:28:21 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
08/01/2023 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20230801130722
FACILITY NAME:NEWMAN, CHISHIROFACILITY NUMBER:
013419051
ADMINISTRATOR:NEWMAN, CHISHIROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 336-0299
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:14CENSUS: 10DATE:
10/05/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Chishiro NewmanTIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Provider is not properly supervising children in care
INVESTIGATION FINDINGS:
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On 10/05/2023 Licensing Program Analyst (LPA) Diana Campos met with licensee Chishiro Newman to investigate the above allegation. Present during the investigation was the licensee, two assistants, and ten children in care consisting of 4 infants and 6 preschoolers. During the course of the investigation, interviews were conducted and records reviewed. It was alleged that provider is not properly supervising children during outdoor walks. Per the reporting party she witnessed provider cross the street with the children while one child stayed behind. Per interviews conducted with neighbors, none of the neighbors reported seeing any child separate from the rest of the group. Provider stated one child did fall but she immediately helped her up and they continued the walk. Based on the investigative findings, there was no evidence to determine whether or not provider did not properly supervise children in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated.

Exit interview conducted and report reviewed with licensee Chishiro Newman.
Notice of site provided must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
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 5
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
08/01/2023 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20230801130722

FACILITY NAME:NEWMAN, CHISHIROFACILITY NUMBER:
013419051
ADMINISTRATOR:NEWMAN, CHISHIROFACILITY TYPE:
810
ADDRESS:4445 WORDEN WAYTELEPHONE:
(510) 336-0299
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:14CENSUS: 10DATE:
10/05/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Chishiro NewmanTIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Provider put child/ren in dangerous situation.
INVESTIGATION FINDINGS:
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On 10/05/2023 Licensing Program Analyst (LPA) Diana Campos met with licensee Chishiro Newman to investigate the above allegation. Present during the investigation was the licensee, two assistants, and ten children in care consisting of 4 infants and 6 preschoolers. During the course of the investigation, interviews were conducted and records reviewed. It was alleged that during an outdoor walk, provider almost crossed the street with the rest of the children while one child was left behind at sidewalk. Per the RP the provider did not turn back to fetch child, instead called out to child to walk towards her, putting the child in a dangerous situation. Per interviews conducted with witnesses of the incident, none of the witnesses reported seeing a child get left behind or put in a dengerous situation. Per licensee, during an outdoor walk one child (third child in line) fell and was immediately tended to by her. Based on the investigative findings, there was no evidence to determine whether or not the allegation is true. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated.

Exit interview conducted and report reviewed with licensee Chishiro Newman.
Notice of site provided must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
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 5
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
08/01/2023 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20230801130722

FACILITY NAME:NEWMAN, CHISHIROFACILITY NUMBER:
013419051
ADMINISTRATOR:NEWMAN, CHISHIROFACILITY TYPE:
810
ADDRESS:4445 WORDEN WAYTELEPHONE:
(510) 336-0299
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:14CENSUS: 10DATE:
10/05/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Chishiro NewmanTIME COMPLETED:
02:35 PM
ALLEGATION(S):
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9
Provider had verbal argument in front of children.
INVESTIGATION FINDINGS:
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On 10/05/2023 Licensing Program Analyst (LPA) Diana Campos met with licensee Chishiro Newman to investigate the above allegation. Present during the investigation was the licensee, two assistants, and ten children in care consisting of 4 infants and 6 preschoolers. During the course of the investigation, interviews were conducted and records reviewed. It was alleged that during an outdoor walk with children in care, provider had a verbal argument in front of children. Per the reporting party, licensee insisted she put her dog on a leash. Interviews revealed that provider was observed arguing with another woman who was walking a large dog while children were present. Interviews also revealed both women were talking in a loud angry manner. Based on the interviews which were conducted and record review(s), the preponderance of evidence standard has been met. Therefore, the above allegation is found to be substantiated. California Code of Regulations, (Title 22, Div. & Chapter #(102416.2)), are being cited on the attached LIC 9099D.

Exit interview conducted and report reviewed with licensee Chishiro Newman.
Notice of site provided must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robert Garza
LICENSING EVALUATOR NAME: Diane Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 02-CC-20230801130722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: NEWMAN, CHISHIRO
FACILITY NUMBER: 013419051
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/05/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/06/2023
Section Cited
CCR
102423(a)(1)(2)(4)
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Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: To be treated with dignity in his/her personal relationship with staff and other persons...To receive safe, healthful, and comfortable accommodations, furnishings, and equipment...
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licensee will submit to licensing a written summary of their understanding of children's personal rights. Licensee will also submit plan of action on how to ensure this regulation will not be violated going forward.
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To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.
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This requirement was not met as evidenced by: Licensee was observed engaged in an argument in front of day care children.
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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: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 02-CC-20230801130722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: NEWMAN, CHISHIRO
FACILITY NUMBER: 013419051
VISIT DATE: 10/05/2023
NARRATIVE
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LPA informed licensee Chishiro Neman that this report dated 10/05/23 documents 1 Type A citation, which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA informed the licensee to provide a copy of this licensing report dated 10/05/23 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5