384001686-8-31-2021-05-CC-CINO-C6WTG9-20210916144240

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384001686
Report Date: 08/31/2021
Date Signed: 08/31/2021 10:12:30 AM

Unsubstantiated

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
06/30/2021 and conducted by Evaluator Leslit Tapia-Mandujano

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20210630094408

FACILITY NAME:	TOLBERT, JOSEPHINE		FACILITY NUMBER:	384001686
ADMINISTRATOR:	TOLBERT, JOSEPHINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 424-9016
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94134
CAPACITY:	14	CENSUS: 2	DATE:	08/31/2021
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Josephine Talbort		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Licensee driving daycare children without a driver’s license.
Licensee endangered children while transporting them in a motor vehicle.

INVESTIGATION FINDINGS:

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On 8/31/21, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced inspection and met with licensee, Josephine Tolbert. Purpose of the inspection was explained, and it was to report the investigations finding for above allegations. Complaint was received by the Department on 6/30/21. Present in the home are licensee and two children (one infant and one preschool age). LPA inspected the home for health and safety hazards.

During the course of the investigation, interviews were conducted and pertinent documents and other evidence received were reviewed. Based on evidence received, LPA cannot determine if the Licensee was transporting daycare children without a driver’s license and endangering them in a motor vehicle.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are closed as UNSUBSTANTIATED.

After today’s visit, an exit interview was conducted with licensee, Josephine Tolbert. A copy of this report will be emailed to josephinesdaycare@outlook.com. This report is public and can be reviewed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021

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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