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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846505
Report Date: 12/27/2023
Date Signed: 12/27/2023 04:06:12 PM

Document Has Been Signed on 12/27/2023 04:06 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 CAREFACILITY NUMBER:
364846505
ADMINISTRATOR:BUBELLO, BARBARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 549-4594
CITY:BLOOMINGTONSTATE: CAZIP CODE:
92316
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/27/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Barbara BubelloTIME COMPLETED:
04:15 PM
NARRATIVE
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On this date and time, an Informal Conference was held in the Riverside Child Care Regional Office. Present in the conference were applicant, Barbara Bubello, Licensing Program Manager (LPM) Aaron Ross and Licensing Program Analysts (LPAs) Blanca Ruiz.

The conference was called to discuss the following:
· Unlicensed Operation
· Prior Non-compliance history

Applicant’s compliance history was reviewed during this conference. Applicant was previously licensed facility number 364845824. Applicant’s responsibilities and accountability were also reviewed during this conference. LPM Ross reminded applicant of how important regulatory compliance is in licensed facilities to protect the Health and Safety of children in care. Applicant has been informed the licensing agency takes noncompliance meetings seriously, and how repeat violations can lead to a Non-Compliance Conference and/or the Department seeking legal consultation regarding the status of the license.

During today's conference, the following documents were discussed and provided to Director/Licensee: Unlicensed Operation, Health and Safety code 1596.80 Child daycare facilities. Title 22 Regulations, section(s) 102423 Personal Rights, 102416.5 Staffing Ratio and Capacity. Contact information for the local Resource and Referral Agency, Riverside County Office of Education (RCOE) at (951) 826-6530 and Community Care Licensing (CCL) Child Care Advocates (916) 654-1541 was provided to the applicant.
Applicant was advised to visit the Department's website at https://cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers on a regular basis for licensing updates, self-assessment tools, quarterly updates, and Provider Information Notices (PIN).
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 12/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/27/2023 04:06 PM - It Cannot Be Edited


Created By: Blanca Ruiz-Silva On 12/27/2023 at 03:25 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: BUBELLO FAMILY CHILD CARE
FACILITY NUMBER: 364846505

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/28/2023
Section Cited
HSC
1596.80

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Health and Safety Code. No person, firm, partnership, association, or corporation shall operate, establish, conduct, or maintain a child care facility in this state without a current valid license, therefore, provided in this act. This requirement was not met as evidence: Mrs. Bubello disclosed that she has provided care for multiple children that are not blood
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Informal meeting held today and pending documentation will be provided to CCLD by deadline 12/28/23.
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related to her and/or each other, within the last weeks. Applicant was previously licensed at 364845824 and decided to operate without a license at the current location. "This poses an immediate risk to the health and safety of the children”.
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LPA advised Mrs. Bubello that if Unlicensed care continues, the request for license in the future could be jeopardized and civil penalty of $200.00 a days may be assessed.

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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.
SUPERVISOR'S NAME:Aaron Ross
LICENSING EVALUATOR NAME:Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 12/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/27/2023


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 364846505
VISIT DATE: 12/27/2023
NARRATIVE
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These resources are suggested and provided to the applicant as technical support, in efforts of assisting the provider with sustainable future compliance. Applicant is also advised to contact the duty officer at (951) 782-4200 for any questions or concerns that may arise, the duty officer is available Monday – Friday (8:00 am to 5:00 pm). Exit interview was conducted with applicant. A copy of this report was provided to the Applicant, Barbara Bubello. This report must be made available to the public upon request for the next 3 years.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2023
LIC809 (FAS) - (06/04)
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