079200959-3-7-2023-15-AS-YFLS-CPYLZC-20230316091144

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079200959
Report Date: 03/07/2023
Date Signed: 03/07/2023 02:18:58 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, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/02/2023 and conducted by Evaluator Lisha Holmes

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20230302142629

FACILITY NAME:	WORKING WONDERS		FACILITY NUMBER:	079200959
ADMINISTRATOR:	SCHWAB, CHRISTINE		FACILITY TYPE:	775
ADDRESS:	315 ORCHARD DR		TELEPHONE:	(925) 331-7797
CITY:	BRENTWOOD	STATE: CA	ZIP CODE:	94513
CAPACITY:	8	CENSUS: 6	DATE:	03/07/2023
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Rosa Ramos, Supervisor		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff pushed client while in care.
Staff leaves clients stranded for extended period of time.
Staff are not adequately trained.
Staff engaged in an altercation in the presence of clients.
Staff do not provide a comfortable temperature for clients.

INVESTIGATION FINDINGS:

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On 3/07/2023 at 10:40 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct initial 10-day complaint visit for the above allegations. LPA telephoned Administrator, Christine Schwab (ADM), explained the purpose of the visit and stated that the Staff and Clients would return to the day program around 11:30 AM. LPA was greeted by S1 and S2.

During the initial 10-day complaint visit, LPA completed a file review for complaint #15-AS-20230224125013 dated 02/24/23 with similar allegations and associated staff. LPA requested the following documents from ADM: LIC 500, Activity Calendar for March 2023 and Client’s rooster. The following documents were reviewed: Three (3) Staff files, six (6) Client files, LIC 500 date 06/01/22, Activity Calendar for March 2023, 2023 Fire Drills, and Guardian.

continued on LIC9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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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Control Number 15-AS-20230302142629

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, STE. 310
OAKLAND, CA 94612

FACILITY NAME: WORKING WONDERS	FACILITY NUMBER: 079200959
	VISIT DATE: 03/07/2023

NARRATIVE

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...continued from LIC9099

LPA toured the facility with S1. This is a single story facility with a main activity room, lounge area, kitchenette, restrooms and a separate space for a tutoring program. The hours of operation are 9:00 AM to 02:00 PM. LPA observed five (5) Clients (C1, C2, C3, C4, C5) attending the Day Program. All of the clients had their personal snacks; extra water and Capri Sun juices were available. The room temperature was comfortable at 73 degree Fahrenheit (F) and there was a note on the black board as a reminder to turn the heat off when leaving. S1 and S2 confirmed that S1 arrives at the facility before 8:30 AM to turn on the heater. S1 is responsible for transportation, purchase of supplies and food. ZUMBA class is via zoom on Friday's at 10:00 AM in conjunction with the sister facility. The facility has a capacity of eight (8) and there are not any records or files for LPA to review that indicates C7, C8 and C9 are participants as referenced in the complaint. S1 and S2 stated that C9 attends the sister facility as it is more suitable. S1, S2 and S3 confirmed that C7, C8 and C9 are not Clients at the Day Program, they have never witnessed or been involved with pushing or having altercations with other Staff or Clients in the presence of others, and have never left a Client unattended at the facility or out in the community. Interviews with C1 revealed the he/she likes the program, C2 is awaiting another program, C3 and C4 both smiled and acknowledged that they like being at the program.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted. A copy of this report provided Rosa Ramos, Supervisor

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC9099 (FAS) - (06/04)

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