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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422452
Report Date: 09/04/2026
Date Signed: 09/04/2026 03:39:57 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/13/2026 and conducted by Evaluator Randy Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20260813101200
FACILITY NAME:CRYSTAL GARDEN MONTESSORIFACILITY NUMBER:
013422452
ADMINISTRATOR:HUA-HSIN(CYNTHIA),WANFACILITY TYPE:
850
ADDRESS:37531 FREMONT BLVD.TELEPHONE:
(510) 792-8415
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:28CENSUS: 3DATE:
09/04/2026
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Hua-Hsin (Cynthia) WanTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Personal Rights - Staff hit daycare child.
INVESTIGATION FINDINGS:
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On September 4, 2026, at 1:50PM, Licensing Program Analyst (LPA) Randy Miranda met with Hua-Hsin (Cynthia) Wan to deliver the findings from a complaint investigation for the above allegation. LPA toured the facility and obtained a copy of the facility roster. Present for the inspection was the licensee, licensee’s assistant, and 3 preschool age children in care.

Based on information obtained through interviews, record reviews, and observations, the preponderance of evidence standard has been met. The incident involving a staff member hitting a day care child occurred when C1, who was standing next to the staff member, began jumping up and down, startling the staff member. In response, the staff member “bopped” C1 on the top of the head to stop the behavior. Both the assistant and the licensee acknowledged that the incident took place. The complainant did not report any visible injuries or changes in behavior in C1.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026
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 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/13/2026 and conducted by Evaluator Randy Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20260813101200

FACILITY NAME:CRYSTAL GARDEN MONTESSORIFACILITY NUMBER:
013422452
ADMINISTRATOR:HUA-HSIN(CYNTHIA),WANFACILITY TYPE:
850
ADDRESS:37531 FREMONT BLVD.TELEPHONE:
(510) 792-8415
CITY:FREMONTSTATE:CAZIP CODE:
94536
CAPACITY:28CENSUS: 3DATE:
09/04/2026
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Hua-Hsin (Cynthia) WanTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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9
Reporting Requirements - Staff did not communicate with authorized representative in a timely manner.
INVESTIGATION FINDINGS:
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On September 4, 2026, at 1:50PM, Licensing Program Analyst (LPA) Randy Miranda met with Hua-Hsin (Cynthia) Wan to deliver the findings from a complaint investigation for the above allegation. LPA toured the facility and obtained a copy of the facility roster. Present for the inspection was the licensee, licensee’s assistant, and 3 preschool age children in care.

Based on information obtained through interviews, record reviews, and observations, the preponderance of evidence standard has been met. The incident involved staff not communicating with authorized representatives in a timely manner. The complainant was made aware of the incident by C1 during after school pickup. At that time, the director had not notified the complainant nor the Department of Social Services of the occurrence. C1 informed the complainant that they were hit on the head. The complainant then contacted the director, who apologized and confirmed that an incident had taken place.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 52-CC-20260813101200
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: CRYSTAL GARDEN MONTESSORI
FACILITY NUMBER: 013422452
VISIT DATE: 09/04/2026
NARRATIVE
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The allegation that staff did not communicate with authorized representative in a timely manner was SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 3, Article 06, Section 101212(d)(c) is cited on the attached LIC 9099D.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided.
Exit interview conducted and report was reviewed with Licensee, Hua-Hsin (Cynthia) Wan.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 52-CC-20260813101200
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CRYSTAL GARDEN MONTESSORI
FACILITY NUMBER: 013422452
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/04/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2026
Section Cited
CCR
101212(d)(c)
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(d) Upon the occurrence, during the operation of the child care center of any of the events specified... shall be submitted to the Department within seven days following the occurrence of such event. (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
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The director and staff will view a video on Child Care Reporting Requirements from the CCLD website. They will submit a written summary and an action plan outlining how they will adhere to reporting requirements to the LPA via email.
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This requirement was not met as evidenced by:
Based on record review, observations, and interviews, it was determined that staff did not report an incident in a timely manner. This poses a potential risk to the health and safety of the children in care.
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Due date for POC is September 21, 2026.

Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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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.
SUPERVISOR'S NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 52-CC-20260813101200
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: CRYSTAL GARDEN MONTESSORI
FACILITY NUMBER: 013422452
VISIT DATE: 09/04/2026
NARRATIVE
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The allegation that staff hit daycare child was SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 3, Article 06, Section 101223(a)(3) is cited on the attached LIC 9099D.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided.
Exit interview conducted and report was reviewed with Licensee, Hua-Hsin (Cynthia) Wan.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 52-CC-20260813101200
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CRYSTAL GARDEN MONTESSORI
FACILITY NUMBER: 013422452
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/04/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2026
Section Cited
CCR
101223(a)(3)
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(a) The licensee shall ensure that each child is accorded the following personal rights:
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat... aids to physical functioning.
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The director and staff will view a video on Children's Personal Rights in Child Care from the CCLD website. They will submit a written summary emphasizing how they will adhere to children's personal rights to the LPA via email.
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This requirement was not met as evidenced by:
Based on record review, observations, and interviews, it was determined that staff hit day care child. This poses a potential risk to the health and safety of the children in care.
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Due date for POC is September 21, 2026.

Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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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.
SUPERVISOR'S NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6