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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384002537
Report Date: 12/10/2024
Date Signed: 12/10/2024 01:50:11 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 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
09/20/2024 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240920123029
FACILITY NAME:PINHEIRO, ALEXANDREFACILITY NUMBER:
384002537
ADMINISTRATOR:PINHEIRO, ALEXANDREFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 771-1004
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 8DATE:
12/10/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Alexandre PinheiroTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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Licensee does not reside in the daycare home.
INVESTIGATION FINDINGS:
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On 12/10/2024 at 11:30AM., Licensing Program Analyst (LPA) Luis Gomez met with Licensee, Alexandre Pinheiro. Purpose of the inspection was explained and was for an Unannounced, Complaint Investigation. Present was licensee and two staff caring for 8 children. (3 infant-age, 5 preschool-age). LPA inspected facility for health and safety hazards.

During inspection, LPA performed site observation, interviews, and reviewed facility records.
During the course of this investigation, observations were conducted on 9/24/2024 and 12/10/2024. A review of the facility records was complete, which included the staff records, children records, and facility file. LPA conducted interviews with licensee, staff, and involved parties. (REFER TO LIC9099C, FOR CONT.)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
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 05-CC-20240920123029
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: PINHEIRO, ALEXANDRE
FACILITY NUMBER: 384002537
VISIT DATE: 12/10/2024
NARRATIVE
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(Page 2)
Regarding the allegation of Licensee does not reside in daycare home; Based on evidence collected, LPA was unable to determine if allegation made is valid. During interview, licensee reporting living at the address only.

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.

LPA conducted exit interview with licensee.

Report was explained and Notice of Site Visit was provided.

SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2