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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376624180
Report Date: 11/17/2025
Date Signed: 11/18/2025 08:22:31 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/13/2025 and conducted by Evaluator Cindy Meier
COMPLAINT CONTROL NUMBER: 20-CC-20251113084357
FACILITY NAME:BUGAY, HAZELYN FAMILY CHILD CAREFACILITY NUMBER:
376624180
ADMINISTRATOR:HAZELYN BUGAYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 931-0943
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:14CENSUS: 4DATE:
11/17/2025
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Hazelyn BugayTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Uncleared adult providing care to daycare children.
INVESTIGATION FINDINGS:
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On 11/17/2025 at 3:30 p.m. Licensing Program Analysts (LPA’s), Cindy Meier and Raina Alexanian conducted an unannounced complaint inspection regarding the above allegation. Upon arrival, licensee exited a vehicle and met LPA at the front door. Inside the home was Staff (S1), alone with four (4) children. LPA discussed the purpose of the inspection with licensee, Hazelyn Bugay, the complaint process and was led on a tour of the facility.

During the inspection there were four (4) children in care, licensee, and staff (S1).
LPA interviewed Staff (S1) and confirmed formal name, which on Driver’s license is different than she refers herself to. S1 stated she comes in some afternoons to help. Licensee stated S1 mainly comes and cleans but it was confirmed on at least two occasions, 10/27/25 and 11/17/25, S1 was interacting with children. Licensee stated S1 has not been fingerprinted. LPA investigated the criminal record clearances, and it was determined that S1 has not obtained a criminal record clearance prior to assisting at the daycare. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
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 4
Control Number 20-CC-20251113084357
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BUGAY, HAZELYN FAMILY CHILD CARE
FACILITY NUMBER: 376624180
VISIT DATE: 11/17/2025
NARRATIVE
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Per California Code of Regulations, (Title 22, division 12 & Chapter 3) one (1) Type A citation is being cited on the attached LIC 9099-D. Civil penalty LIC421BG is being assessed.

LPA Cindy Meier informed Licensee, Hazelyn Bugay that this report dated 11/17/25 document(s) one (1) Type A citation which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Cindy Meier informed the Licensee, Hazelyn Bugay to provide a copy of this licensing report dated 11/17/25 that documents Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with licensee, Hazelyn Bugay.
A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 20-CC-20251113084357
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: BUGAY, HAZELYN FAMILY CHILD CARE
FACILITY NUMBER: 376624180
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/17/2025
Section Cited
HSC
1596.871(c)(1)(A)
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1596.871(c)(1)(A) Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
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Licensee will ensure staff (S1), will obtain a criminal record clearance prior to returning to the facility.
Licensee stated she will send proof to SDRO before staff S1 returns to work.
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Based on observation, interview, the licensee did not comply with the section cited above in that (1) person working/residing in the home did not have a criminal record background clearance which poses an immediate health, safety or personal rights risk to persons in care. Licensee stated staff (S1) has been helping at the facility since at least 10/27/2025.
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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: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4