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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013419648
Report Date: 02/12/2025
Date Signed: 02/12/2025 04:13:05 PM

Substantiated


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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/23/2024 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20241223103405
FACILITY NAME:HSIEH, CHUN HWA & MENG, WEI TEFACILITY NUMBER:
013419648
ADMINISTRATOR:HSIEH, CHUN HWA & MENG, WEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 661-9868
CITY:FREMONTSTATE: CAZIP CODE:
94539
CAPACITY:14CENSUS: 6DATE:
02/12/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Wei Te MengTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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- Staff yells at day care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conclude investigation into the above allegation. LPA was met by Licensee's Meng We Te and Chun Hwa Hsieh. Also present was a fingerprint cleared staff member and 6 preschool aged children.

During the course of the investigation LPA conducted interviews, made observations and conducted record reviews. Based on information received, it is noted that a staff member in care was perceived to have yelled at a child(ren) in care. Based on LPA's observations and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Health and Safety Code 1596.80 is being cited on the attached LIC. 9099D.

An exit interview and report reviewed with Licensee, Wei Te Meng.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
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 3
Control Number 52-CC-20241223103405
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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: HSIEH, CHUN HWA & MENG, WEI TE
FACILITY NUMBER: 013419648
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/26/2025
Section Cited
CCR
102423(a)(1)
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Personal Rights. 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:
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Licensee's will have a meeting with all staff and go over children's personal rights and ensure that staff do not violate children's personal rights. Licensee will obtain a signature and date from all staff stating they understand Title 22 Section 102423. Signatures to be submitted to LPA via email
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To be treated with dignity in his/her personal relationship with staff and other persons.
This requirement is not being met as evidence by: Interviews conducted stated that a staff member in care raised their voice at a child(ren) in care which presents a potential risk to the health, safety and personal right of the children in care.
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 no later than 2/26/2025.
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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: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/23/2024 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20241223103405

FACILITY NAME:HSIEH, CHUN HWA & MENG, WEI TEFACILITY NUMBER:
013419648
ADMINISTRATOR:HSIEH, CHUN HWA & MENG, WEFACILITY TYPE:
810
ADDRESS:43016 GALLEGOS AVENUETELEPHONE:
(510) 661-9868
CITY:FREMONTSTATE: CAZIP CODE:
94539
CAPACITY:14CENSUS: 6DATE:
02/12/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Wei Te MengTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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9
- Provider used inappropriate form of discipline with day care children.
- Staff handles children in a rough manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conclude investigation into the above allegation. LPA was met by Licensee's Meng We Te and Chun Hwa Hsieh. Also present was a fingerprint cleared staff member and 6 preschool aged children.

During the course of the investigation LPA conducted interviews, made observations and conducted record reviews. Based on information received, it is unclear whether the provider(s) used any inappropriate form of discipline with day care children or whether the staff handles children in a rough manner. Based on interviews conducted, 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, therefore, the allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days.
Appeal Rights were given and discussed. An exit interview was conducted with Licensee, Wei Te Meng.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
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 3