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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004171
Report Date: 07/21/2021
Date Signed: 07/21/2021 11:51:15 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
04/26/2021 and conducted by Evaluator Cindy Mok
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20210426095404

FACILITY NAME:SOUTH OF MARKET CHILD CARE-TRANSBAY CDCFACILITY NUMBER:
384004171
ADMINISTRATOR:MOFAKHAM, NOUSHINFACILITY TYPE:
850
ADDRESS:220 BEALE STREETTELEPHONE:
(415) 820-3500
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94105
CAPACITY:60CENSUS: DATE:
07/21/2021
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Ihuoma IheukwumereTIME COMPLETED:
11:05 AM
ALLEGATION(S):
1
2
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5
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7
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9
A child sustained unexplained injuries such as bruises, scrapes, sunburns, and opened wounds while in care.
INVESTIGATION FINDINGS:
1
2
3
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5
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7
8
9
10
11
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13
LPA Mok conducted an inspection to finalize the complaint with the Site Director, Ihuoma Iheukwumere. The purpose of the inspection was explained to her. Child Care Licensing delivered this report to the Site Director via e-mail and mail. During the investigation, LPA conducted interviews with the witnesses and gathered relevant documents. Based on the interviews with witnesses and relevant documents, there was no sufficient evidence to prove a child sustained unexplained injuries while in care or not.

Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021
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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