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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700527
Report Date: 04/08/2025
Date Signed: 04/08/2025 03:43:13 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
04/04/2025 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20250404113614
FACILITY NAME:CREATIVE WORLDFACILITY NUMBER:
015700527
ADMINISTRATOR:GADDINI, DAWNFACILITY TYPE:
850
ADDRESS:14830 WASHINGTON AVENUETELEPHONE:
(510) 567-3733
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY:32CENSUS: 27DATE:
04/08/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Dawn GaddiniTIME COMPLETED:
03:55 PM
ALLEGATION(S):
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Facility staff left day care children unattended after a field trip.
INVESTIGATION FINDINGS:
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On April 8th, 2025 at, 9:30 AM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation LPA met with Director Dawn Gaddini and advised her the purpose of the inspection. Director and LPA toured the facility inside and out. There were 27 children and 4 staff in care at the time of the inspection.

LPA interviewed staff members, reporting party, children, and parents. Based on interviews conducted, during a field trip that was on 4/2/2025 to Chuck E. Cheese the facility received a phone call that they left two children at Chuck E. Cheese Hayward. therefore 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 1, Article 06, Section: 101229(a)(1) Responsibility for Providing Care and Supervision, are being cited on the attached LIC 9099D.
This is a Zero Tolerance Violation and an immediate $500 civil penalty is assessed today.
A notice of site visit and appeal rights were given and must be posted for 30 days. Exit interview conducted and report was reviewed with director Dawn Gaddini
Upon receipt of licensing report, licensee must provide a copy of this report to parents/guardian of all children enrolled and any newly enrolled parents/guardian for 12 months from the date of this report and a signed Acknowledgement of Receipt of Licensing Report must be placed in the children's files.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025
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 2
Control Number 52-CC-20250404113614
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CREATIVE WORLD
FACILITY NUMBER: 015700527
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/22/2025
Section Cited
CCR
101229(a)(1)
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101229(a)(1) Responsibility for Providing Care and Supervision (a)(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 is not met as evidenced by:
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Director will have an all staff meeting and review the "Supervising Children in Child Care Centers" video on ccld.childcarevideos.org and submit attendance sheet and a statement on how supervision will be maintained in the future.
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Based on Staff and Parent interviews conducted. Staff and Parents indicated that there were two children that were left behind at Chuck E Cheese
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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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: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025
LIC9099 (FAS) - (06/04)
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