364845824-6-2-2023-09-CC-KWIS-CSEQAL-20230602120004

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364845824
Report Date: 04/07/2023
Date Signed: 06/02/2023 11:52:05 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, 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 CARE		FACILITY NUMBER:	364845824
ADMINISTRATOR:	BUBELLO,BARBARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 549-4594
CITY:	FONTANA	STATE: CA	ZIP CODE:	92335
CAPACITY:	14	CENSUS: 9	DATE:	04/07/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Barbara Bubello		TIME COMPLETED:	04:05 PM

ALLEGATION(S):

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Staff operated beyond the terms of the license. (****AMENDED: ALLEGATION IS SUBSTANTIATED****)
Day-care child was locked in a room for a long period of time.
Staff forced day-care child to eat.

INVESTIGATION FINDINGS:

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*****Report amended to remove the following allegation: Staff operated beyond the terms of the license, based on the findings being SUBSTANTIATED*****
On the date and time listed above, Licensing Program Analyst (LPA) Aman Sharma arrived at the facility to conclude an investigation regarding the above allegations to a complaint received on 02/16/2023. Previous inspections were conducted on 02/23/2022 and 03/24/2023. LPA was given access to the facility by the licensee, Barbara Bubello. LPA discussed purpose of visit and toured the facility. There were 9 children in care and also present were licensee’s assistant, Alexis Irigoyen and licensee’s adult relative. LPA met with the licensee to further discuss the complaint allegations and deliver findings.
During the investigation, LPA interviewed pertinent parties, made observations and collected facility documentation. It was reported that a day-care child was locked in a room for a long period of time and that staff forced a day-care child to eat.
The following information was collected during the investigation:
SEE 9099C.........

Unsubstantiated

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 5

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: 04/07/2023

NARRATIVE

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It was alleged that on or about February 14, 2023, a day-care child was locked in a room for a long period of time. Allegedly, during naptime, a child was refusing to take a nap. It was reported, the child has special needs and is "unable to properly communicate their needs all the time". The subject child was throwing a tantrum and out of frustration, staff allegedly locked the child in a room by themselves, to put the other children down for a nap.

It was reported that the subject child was performing aggressive behavior, so staff put the child in an on-limit room of the facility and closed the door to protect the safety of the other children, as well as themselves. Although the door does have a lock facing the inside, LPA was unable to determine if the door was locked or unlocked during the time of the incident. Other interviews disclosed that the child first ran back to the room by themselves, and later was walked into the room and staff shut the door. Staff interviews disclosed, the door was shut with the child in the room for approximately 1 to 2 minutes. "The purpose was for them to stay in there" and "so that way they wouldn't come out". Interviews disclosed once the door was closed, staff requested the licensee watch the child via the room’s video surveillance from their phone. LPA was unable to conduct interviews with all pertinent parties during this investigation, the subject child is mostly non-verbal, but demonstrated their ability to open and unlock a door.

It was alleged that staff forced day-care child to eat. A daycare child was allegedly forced to eat their lunch and if they didn't, then food would be withheld from them when they later asked for it.

LPA observed children eating their snacks and no food was withheld from them during the time LPA was at the facility. According to interviews, if a child does not wish to eat at the time, they would have an opportunity during the next meal period or snack time. If a child asks for food in between that time, they are told to wait for the next meal or snack time. If the child is still persistent, they are given a small snack.

Based on information obtained during this investigation through interviews conducted, the review of pertinent documentation, and after receiving conflicting information, the above allegations are UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2023

LIC9099 (FAS) - (06/04)

Page: 4 of 5

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: 04/07/2023

NARRATIVE
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SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2023

LIC9099 (FAS) - (06/04)

Page: 5 of 5