384004171-9-3-2021-05-CC-GLEG-C732NM-20210920173256

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384004171
Report Date: 09/03/2021
Date Signed: 09/03/2021 02:33:55 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
07/01/2021 and conducted by Evaluator Sheran Lo

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20210701152542

FACILITY NAME:	SOUTH OF MARKET CHILD CARE-TRANSBAY CDC		FACILITY NUMBER:	384004171
ADMINISTRATOR:	IHEUKWUMERE, IHUOMA		FACILITY TYPE:	850
ADDRESS:	220 BEALE STREET		TELEPHONE:	(415) 820-3565
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94105
CAPACITY:	60	CENSUS: 24	DATE:	09/03/2021
		UNANNOUNCED	TIME BEGAN:	11:01 AM
MET WITH:	Jennifer De Palm		TIME COMPLETED:	12:02 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility not following Admission Agreement

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On September 3, 2021 at 11:00 AM, Licensing Program Analyst (LPA), Sheran Lo conducted a subsequent complaint inspection and met with Executive Director Jennifer De Palm, to discuss the above allegation. Purpose of the inspection was explained. Present is Director, 7 staff with 24 children.

During the course of the investigation, interviews were conducted with Director, parents, and relevant documents were gathered. Based on the interviews and relevant documents, there was no sufficient evidence to prove the facility not following admission agreement. 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.

LPA conducted exit interview with Director. Report, Appeal Rights, and Notice of Site Visit will be emailed to jennifer@somacc.org by the end of business day. Notice of Site Visit shall be posted for 30 consecutive days.

Unsubstantiated

Estimated Days of Completion: 60

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sheran Lo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2021

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