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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380504493
Report Date: 04/22/2020
Date Signed: 04/23/2020 09:05:20 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/12/2020 and conducted by Evaluator Jennifer Yee
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20200312124005
FACILITY NAME:STOKES, MARGIE PINNACE - MARG'S CHILD CAREFACILITY NUMBER:
380504493
ADMINISTRATOR:STOKES, MARGIE P.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 585-5962
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:12CENSUS: 0DATE:
04/22/2020
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Margie P. StokesTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
A child was injured while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Due to COVID-19, a field inspection is suspended at this time.

During the course of the investigation, Licensing Program Analyst (LPA) Yee interviewed complainant, licensee, three staff members, and witnesses. In addition, LPA reviewed the photos that were submitted to the CCL department.

Based on the photos reviewed, the child did have a scratch. However, staff denied ever seeing the scratch or have any knowledge of it. The complainant stated that the scratch came from the facility. 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 unsubstantiated.

Copy of this report is provided to the licensee via email.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2020
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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