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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073401009
Report Date: 09/03/2025
Date Signed: 09/03/2025 04:38:06 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
07/28/2025 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20250728135904
FACILITY NAME:SUNSHINE HOUSE - BRENTWOODFACILITY NUMBER:
073401009
ADMINISTRATOR:CHELSEA TRAUMFACILITY TYPE:
850
ADDRESS:401 CHESTNUT STREETTELEPHONE:
(925) 634-5678
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:38CENSUS: 20DATE:
09/03/2025
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Hiu Laam Chow (Elaine).TIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Child sustained injury while in care.
Staff did not notify child's responsible party of incident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced visit to investigate the above allegation. LPA met with Director Hiu Laam Chow (Elaine).

It was reported that a child in care sustained an injury as a result of being pushed and pinched by another child. It was also reported that staff did not report the injury to the parent.

During the investigation LPA conducted interviews. Those interviewed stated that they did not witness the child being pushed or pinched. They also stated that the child did not report being injured or display signs of discomfort on that day.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
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 02-CC-20250728135904
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: SUNSHINE HOUSE - BRENTWOOD
FACILITY NUMBER: 073401009
VISIT DATE: 09/03/2025
NARRATIVE
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Although 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 deemed unsubstantiated.

Notice of Site Visit was provided and must be posted for 30 days.

Exit interview and report reviewed with Hiu Laam Chow (Elaine).
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2