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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201094
Report Date: 05/09/2023
Date Signed: 05/09/2023 01:55:56 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
03/16/2023 and conducted by Evaluator Leslie Ibo
COMPLAINT CONTROL NUMBER: 15-AS-20230316160934
FACILITY NAME:WORKING WONDERSFACILITY NUMBER:
079201094
ADMINISTRATOR:SCHWAB, CHRISTINEFACILITY TYPE:
775
ADDRESS:150 MIDDLEFIELD CT SUITE FTELEPHONE:
(925) 331-7797
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:24CENSUS: 13DATE:
05/09/2023
UNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Christine Schwab, AdministratorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff leaves clients stranded for extended period of time.
Staff engaged in an altercation in the presence of clients.
INVESTIGATION FINDINGS:
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On 5/9/2023 at around 12:30PM, Licensing Program Analyst (LPA) L Ibo arrived unannounced to conduct an unannounced complaint visit and deliver the investigation finding. LPA explained the purpose of the visit with staff (S3), LPA called Administrator Christine Schwab to informed her the purpose of the visit. When LPA arrived at the facility, it was observed that there were one staff (S3) with two clients, S3 stated that the other clients went out on an outing. At around 11:30AM, LPA observed clients arrived from outing.

Allegation: Staff leaves clients stranded for extended period of time.

Based on interview with staff and clients, there were no incident of a staff leaving clients stranded for extended period of time. Clients stated that they are comfortable and happy attending the day program.

...Continued to LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Leslie Ibo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
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 15-AS-20230316160934
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: 079201094
VISIT DATE: 05/09/2023
NARRATIVE
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Allegation: Staff engaged in an altercation in the presence of clients.

During the course of investigation LPA conducted records review, staff and clients’ interview. Based on staff interview, there was an incident when a staff (S3) was upset with another staff (S1), however the staff (S1) did not cause any harm or altercation with S3 in front of clients in care. Based on client’s interview, they denied observing any staff having altercation or argument in front of them. Clients stated that they are comfortable and happy attending the day 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.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Leslie Ibo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2