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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073404858
Report Date: 04/28/2021
Date Signed: 04/28/2021 04:21:30 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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/23/2021 and conducted by Evaluator Monica Mathur
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20210223104834
FACILITY NAME:NEW WORLD CHILD DEVELOPMENT CENTER, WALNUT CREEKFACILITY NUMBER:
073404858
ADMINISTRATOR:STELLA WO CABACUNGANFACILITY TYPE:
850
ADDRESS:1919 GEARY ROADTELEPHONE:
(925) 939-1688
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94597
CAPACITY:49CENSUS: 28DATE:
04/28/2021
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Stella CabacunganTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Personal rights - Staff mishandled children in care
INVESTIGATION FINDINGS:
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On 04/26/21 at 3:30 PM Licensing Program Analysts (LPAs) Monica Mathur and Michelle Sutton conducted a Subsequent Complaint Investigation at New World Child Development Center Walnut Creek. LPA spoke with Administrator, Stella Cabacungan and the finding for the above allegation was delivered.

During the course of the investigation, LPA inspected the facility, reviewed records, and conducted interviews. It was determined that staff raise their voice which children perceive as yelling, causing them to be anxious, scared and sad. They also feel intimidated by certain staff members. Children are often removed from their classroom and sent to the office as form of discipline for unknown duration of time. Staff admits they raise their voice to correct children and to be heard. These are violation of personal rights. Licensee understands that a child's perception of a gesture or physical interaction by a staff member during times of redirection and/or instruction that causes anxiety, intimidation, scare and sad feelings is a violation of a child's personal rights. Administrator understands that time out can be given only for as many numbers of minutes per years in age.

CONTINUED ON NEXT PAGE 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021
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 02-CC-20210223104834
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: NEW WORLD CHILD DEVELOPMENT CENTER, WALNUT CREEK
FACILITY NUMBER: 073404858
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/29/2021
Section Cited
CCR
101223(a)
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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 [...]. (2) [...] safe, healthful and comfortable accommodations, [...] to meet his/her needs.(3) [...] be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse [...]. This requirement is not met as evidenced by:
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BY POC Due Date 04/29/21 Licensee agreed to submit: 1 written statement of interpretation and understanding of the regulation.2. By POC Due Date 05/05/21 hold an all staff meeting, view a training video on Personal Rights on CCLD website; and formulate plan on how to redirect children without violating personal rights.
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Per LPA’s investigation, it was determined that staff yell at children making them anxious, intimidated, scared and sad. Children are removed from class and sent to the office as form of discipline for unknown duration of time.This is a violation of Personal Rights and an immediate risk to the health and safety of children in care.
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Licensee to submit proof of staff meeting with discussed agenda points and staff attendance signatures as proof of correction.
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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: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 02-CC-20210223104834
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: NEW WORLD CHILD DEVELOPMENT CENTER, WALNUT CREEK
FACILITY NUMBER: 073404858
VISIT DATE: 04/28/2021
NARRATIVE
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Based on the interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page.

Due to the issuance of a Type A Citation during today's inspection, a copy of this Licensing Report must be POSTED in the facility and PROVIDED to each existing parent by the end of today or next day child is in care. Report also has to be PROVIDED to the parent of children who are enrolled over the next 12 months. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports must be signed by each parent and kept in each child's file.

LPAs discussed with Administrator the seriousness of the substantiated finding for this complaint keeping in mind facility's recent past history of similar allegations that were also substantiated. Administrator was informed that possible administrative action may be taken.

Exit interview was conducted, where this report, the deficiency, plan of correction, and appeal rights were discussed with Administrator, Stella Cabacungan.

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021
LIC9099 (FAS) - (06/04)
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