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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700527
Report Date: 02/05/2026
Date Signed: 02/05/2026 02:13:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 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
01/28/2026 and conducted by Evaluator Kassandra Medrano
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20260128112733
FACILITY NAME:CREATIVE WORLDFACILITY NUMBER:
015700527
ADMINISTRATOR:CHIO,AMANDAFACILITY TYPE:
850
ADDRESS:14830 WASHINGTON AVENUETELEPHONE:
(510) 567-3733
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY:32CENSUS: 22DATE:
02/05/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Amanda ChioTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff inappropriately spoke to child.
Staff handled child in a rough manner.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Kassandra Medrano and Diana Campos made an unannounced initial10-day visit and met with Director, Amanda Chio. The purpose of the inspection was explained. LPA Medrano and Campos toured the facility and inspected the facility for health and safety hazards. Present in the facility were 22 children, and 6 staff.

During the course of the investigation, it was reported that on 1/27/2026 at approximately 10:25 AM, it was reported that a child, C1, was seated at a table in classroom one (preschool classroom.) C1 was participating in an activity when the child pushed the activity supplies too far on the table. S5 then yelled and the child and stated, “You’re not supposed to do it like that,” and “You’re always a mess.” It was further observed that S5 physically pushed the C1 on the forehead, shoulders, and chest, causing the C1 to cry and appear distressed.

This report is continued on Page 2...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
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-20260128112733
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: CREATIVE WORLD
FACILITY NUMBER: 015700527
VISIT DATE: 02/05/2026
NARRATIVE
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The facility confirmed that during project time C1 was not following directions and had a toy in their mouth. S5 then removed the toy from the child’s mouth, physically directed the child to sit, and raised their voice at C1. It was reported that staff in nearby classrooms heard the yelling and entered the classroom to check on the situation. The facility representatives reviewed and provided LPAs with video footage of the incident. Following the incident, the facility has terminated S5's employment and reminded all staff of the children’s personal rights.

Based on reports C1 appeared to be scared and crying during the incident. The allegations noted above are thus found to be SUBSTANTIATED, meaning the allegations are valid because the preponderance of the evidence standard has been met. LPAs Medrano and Campos informed the facility representative, Amanda, that this report dated 02/05/26 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPAs Medrano and Campos informed the facility representative to provide a copy of this licensing report dated 02/05/26 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: Wynn Norona
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 52-CC-20260128112733
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: CREATIVE WORLD
FACILITY NUMBER: 015700527
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/06/2026
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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Facility to send documentation of the training for all staff regarding children's personal rights. Facility to document the staff that attended this training.
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Based on interviews, video footage, and record review, it was found that S5 inappropriately spoke to C1 by yelling as well as handled them roughly. This posed an immediate 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: Wynn Norona
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3