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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 065407293
Report Date: 02/09/2021
Date Signed: 02/23/2021 05:03:12 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/12/2020 and conducted by Evaluator Laura Chavez
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20200812125009
FACILITY NAME:BUGARIN, MARIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
065407293
ADMINISTRATOR:BUGARIN, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 473-5859
CITY:WILLIAMSSTATE: CAZIP CODE:
95987
CAPACITY:14CENSUS: 0DATE:
02/09/2021
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Maria BugarinTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Licensee operating out of ratio.
INVESTIGATION FINDINGS:
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On 2/9/2021 at 12:50pm, Licensing Program Analyst (LPA) Laura Chavez met with Licensee Maria Bugarin to deliver complaint findings, the meeting was conducted via tele-inspection due to the current State of Emergency caused by COVID-19. It was alleged that the licensee is operating out of ratio, specifically, that on 7/8/2020, 7/9/2020 and 7/10/2020, the licensee cared for more than four infants at one time. The licensee, whom was interviewed on 8/17/2020 at 11:00am denied the allegation and stated that she has not had more than four infants in care at any one time. LPA conducted additional interviews with the licensee's three assistants, parents, and children on 8/17/2020 and 12/30/2020 regarding the complaint allegation. The licensee's assistants stated that no more than four infants have been in care at one time. Parent #1 could not say for certain on how many infants were in care at one time. Parents #2 and #3 stated they observed no more than 3 or 4 infants in care at one time. Parents #4 and #5 stated that due to COVID-19 they do not go into the home and therefore unable to observe how many infants were in care at one time. Child #1 stated he did not know how many infants were in care while Child #2 stated there may have been 2 or 3 infants in care at one time.

Report Continued: See LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2021
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 2
Control Number 13-CC-20200812125009
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: BUGARIN, MARIA FAMILY CHILD CARE HOME
FACILITY NUMBER: 065407293
VISIT DATE: 02/09/2021
NARRATIVE
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LPA’s review of the licensee’s mealtime attendance records made on 8/12/2020 for 7/2020 show the licensee was caring for 11 children, 4 of which were infants. During today's tele-inspection of the home, LPA observed the licensee providing care to four preschool age children.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. An exit interview was conducted. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2