384002537-6-9-2020-05-CC-AZEA-BQES3Y-20200609133152

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384002537
Report Date: 04/20/2020
Date Signed: 06/09/2020 12:56:05 PM

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
03/10/2020 and conducted by Evaluator Jennifer Yee

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20200310093129

FACILITY NAME:	PINHEIRO, ALEXANDRE		FACILITY NUMBER:	384002537
ADMINISTRATOR:	PINHEIRO, ALEXANDRE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 771-1004
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94112
CAPACITY:	14	CENSUS: 0	DATE:	04/20/2020
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Alexandre Pinheiro (Tele-Conference)		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Child sustained bug bites while in care

Staff unable to communicate in English.

INVESTIGATION FINDINGS:

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During the course of the investigation, LPA interviewed the complainant, licensee, licensee's wife, two staff members, a child's mother, and five parents. LPA also did a visual inspection on 3/11/2020, all clear. Other documentation obtained such as photos, text messages, and doctor notes. Available information gathered during this investigation shows that a child did receive bug bites, however, information is not clear where it may have happened.

Upon further review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore this complaint is deemed UNSUBSTANTIATED.

Licensee denies the allegations. Appeal rights were provided. No deficiencies are cited today. Copy of this report is provided via email and U.S. mail.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer Yee	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2020

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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