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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004615
Report Date: 12/09/2024
Date Signed: 12/09/2024 01:03:32 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
09/25/2024 and conducted by Evaluator Leslit Tapia-Mandujano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240925160151
FACILITY NAME:ALVES, EDMAR F.FACILITY NUMBER:
384004615
ADMINISTRATOR:ALVES, EDMAR F.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 518-9961
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:12CENSUS: 4DATE:
12/09/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Licensee, Edmar F. AlvesTIME COMPLETED:
01:10 PM
ALLEGATION(S):
1
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9
Surface of the facility is unclean
Licensee does not keep cribs free of loose articles and objects
Licensee does not live in the home
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
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12
13
On December 9th, 2024 at approximately 11:30am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, complaint investigation and met with licensee, Edmar F. Alves to deliver the findings of the above allegations. LPA explained the purpose of the visit to licensee. LPA toured the home for health and safety hazards. Present in the facility are licensee and assistant supervising 4 children (3 infants and preschooler). All adults working or living in the facility have fingerprint clearance and are associated.

Complaint was received by the Department on 09/25/24. During the course of the investigation, interviews were conducted with licensee, parents, assistants, and involved parties. As well as, relevant documents were gathered. LPA also conducted health inspections on 10/03/24, 11/12/24, and 12/09/24. The investigation determined there is not enough available information to prove that: surface of the facility is unclean, Licensee does not keep cribs free of loose articles and objects, and Licensee does not live in the home.

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

Exit interview was conducted with licensee, Edmar F. Alves. A copy of this report was reviewed, translated into Spanish, and will be emailed to Licensee due to technical difficulties.

Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain postings as required, will result in an immediate $100 civil penalty. This report is public and can be reviewed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2024
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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