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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013418986
Report Date: 12/05/2022
Date Signed: 12/05/2022 11:21:20 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/12/2022 and conducted by Evaluator Sabina Dodoo
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20221012083736
FACILITY NAME:BUBBLY TOTS LEARNING CENTERFACILITY NUMBER:
013418986
ADMINISTRATOR:SINGH, SONIFACILITY TYPE:
850
ADDRESS:963 MANOR BLVD.TELEPHONE:
(510) 351-0300
CITY:SAN LEANDROSTATE: CAZIP CODE:
94579
CAPACITY:71CENSUS: 19DATE:
12/05/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Lorna LazaroTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Staff handled child(ren) in rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Monday 12/5/2022, at approximately 9am, Licensing Program Analyst(LPA) Sabina Dodoo met with Assitant Director Lorna Lazaro for an Unannouced Complaint Investigation for Bubbly Tots Learning Center. The Director Soni Singh is currently on vacation and was not present during this visit. LPA Dodoo explained the nature of this visit to Assistant Director Lazaro. LPA Dodoo toured the facility. The census was 19 children and 4 teachers including Assistant Director.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. The exit interview was conducted with Assistant Director Lorna Lazaro. A copy of this report was provided and a copy of Appeal Rights was given.
A Technical Violation was given for Regulation Number 10428 (b)(2). (Please See Form LIC 9102 Technical Violation).
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Sabina DodooTELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/12/2022 and conducted by Evaluator Sabina Dodoo
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20221012083736

FACILITY NAME:BUBBLY TOTS LEARNING CENTERFACILITY NUMBER:
013418986
ADMINISTRATOR:SINGH, SONIFACILITY TYPE:
850
ADDRESS:963 MANOR BLVD.TELEPHONE:
(510) 351-0300
CITY:SAN LEANDROSTATE: CAZIP CODE:
94579
CAPACITY:71CENSUS: 19DATE:
12/05/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Lorna LazaroTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Staff spoke inappropriately to child(ren) in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Monday 12/5/2022, at approximately 9am, Licensing Program Analyst (LPA) Sabina Dodoo met with Assistant Director Lorna Lazaro for an Unannouced Complaint Visit. The Director Soni Singh is currently on vacation so she was not present during this visit. LPA Dodoo explained the nature of this visit to Assistant Director Lazaro. Present during the inspection were 4 teachers(Director included) and 19 preschool children. LPA toured the facility.

Based on observations and interviews the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. A copy of this report was provided and Appeal Rights was also given. Exit interview was conducted with Assistant Director Lorna Lazaro. This report shall remain on file for 3 years.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Sabina DodooTELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3