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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408199
Report Date: 12/08/2022
Date Signed: 12/08/2022 06:16:58 PM

Unsubstantiated


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
10/06/2022 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20221006203156
FACILITY NAME:CENTER OF GRAVITY, INC.FACILITY NUMBER:
073408199
ADMINISTRATOR:SETIYADI, UTAMIFACILITY TYPE:
850
ADDRESS:2702 PLEASANT HILL RD.TELEPHONE:
(925) 954-8399
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:60CENSUS: 30DATE:
12/08/2022
UNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Utami SetiyadiTIME COMPLETED:
06:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff inappropriately restrained minor in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/8/22, at 3:40PM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced to deliver the findings to the above allegations. LPA Fernandes met with Director Utami Seiyadi and Assistant Director Raissha Seely. Present in care were 30 preschoolers and six additional staff members. During the course of the investigation, LPA Fernandes conducted interviews, reviewed center documents and observed the children in care.

Interviews indicated conflicting information regarding the above allegations. Therefore, the allegations are unsubstantiated, 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.

Exit interview conducted
Report and Appeal Rights provided

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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