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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364845824
Report Date: 04/19/2023
Date Signed: 04/19/2023 12:05:44 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/16/2023 and conducted by Evaluator Aman Sharma
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20230216124504
FACILITY NAME:BUBELLO FAMILY CHILD CAREFACILITY NUMBER:
364845824
ADMINISTRATOR:BUBELLO,BARBARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 549-4594
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY:14CENSUS: 0DATE:
04/19/2023
ANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Barbara BubelloTIME COMPLETED:
12:05 PM
ALLEGATION(S):
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Staff operated beyond the terms of the license.
INVESTIGATION FINDINGS:
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On 04/07/2023, Licensing Program Analyst (LPA) Sharma conducted a complaint inspection at the facility to conclude a complaint investigation received on 02/16/2023. Previous inspections were conducted at the facility on 02/23/2022 and 03/24/2023. Licensee attended an office meeting today on 04/19/2023, during this meeting, LPA delivered findings to the licensee.
It was alleged that staff operated beyond the terms of the license. Allegedly, one staff was left in the care of about 12-15 kids, and it was reported, “this would happen often”.

Throughout the investigation, LPA interviewed pertinent parties, made observations, and collected facility documentation.
The following information was collected during the investigation:
SEE 9099C.........
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
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 3
Control Number 09-CC-20230216124504
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BUBELLO FAMILY CHILD CARE
FACILITY NUMBER: 364845824
VISIT DATE: 04/19/2023
NARRATIVE
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It was alleged that staff operated beyond the terms of the license by often leaving one staff in the care of more than 8 children, about 12-15 children at a time. The facility is licensed for a capacity of 14, however, according to Title 22 Regulations, “…If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c)…”

During interviews with pertinent parties and licensees’ own admission, it was disclosed that the subject staff would leave to run errands, but only with 9 children in care at a time and “never 12-15”. This staff would need to pick up their own children and provide transportation for other day care children, so they would leave the other staff with more than 8 children in care. According to staff, this happened occasionally and not all the time. During the course of the investigation, LPA learned there was no additional assistant provider present during the times transportation was being provided, leaving only one staff with more than 8 children.

Based on interviews and licensees’ own admission, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 12) are being cited on the attached LIC9099D.

An exit interview was conducted with the Licensee, Barbara Bubello. Appeal rights were discussed and issued, and a copy of this report was provided. A Notice of Site Visit was issued. Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any licensing reports documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20230216124504
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: BUBELLO FAMILY CHILD CARE
FACILITY NUMBER: 364845824
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/19/2023
Section Cited
CCR
102416.5(e)
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Staffing Ratio and Capacity: (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not met as evidenced by:
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Licensee agrees to submit a plan for how they will ensure they will stay in ratio, along with a memo of understanding the regulation, which was provided to licensee. This must be sent to licensing no later than the POC due date.
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Licensee admitted to leaving assitant in charge of more than 8 children at one time on more than one occassion. This poses an immediate risk to the Health and Safety to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3