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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376624180
Report Date: 02/05/2026
Date Signed: 02/06/2026 08:01:32 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 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: 5DATE:
02/05/2026
UNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Hazelyn BugayTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Adult in home inappropriately disciplined child in care.
INVESTIGATION FINDINGS:
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On February 5, 2026, at 2:05 p.m., Licensing Program Analyst (LPA) Cindy Meier conducted an unannounced inspection to deliver findings for the above allegation. LPA met with licensee, Hazelyn Bugay and advised licensee of the purpose of the inspection and was led on a tour of the facility. There were five (5) children present at the time of the inspection.

During the course of the investigation, interviews were conducted with licensee, Staff #1 (S1), child #1 (C1) and daycare parents. Records obtained and reviewed by LPA included facility roster, Incident Report, and text messages.

It was determined that on 10/27/2025, S1 forcefully grabbed C1’s arm and pulled it away. No injuries were noted. S1 admitted to the incident, explaining that she was attempting to redirect C1 from hurting a daycare infant. During interview with LPA, C1 stated S1 hurt them and they cried.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rajani Goudreau
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
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
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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BUGAY, HAZELYN FAMILY CHILD CARE
FACILITY NUMBER: 376624180
VISIT DATE: 02/05/2026
NARRATIVE
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Based on S1’s admission and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, (Title 22, Division 12, Chapter 3), one (1) Type A deficiency is being cited on the attached LIC 9099D.

LPA Cindy Meier informed licensee, Hazelyn Bugay, that this report dated 2/5/26 document(s) (1) Type A citation(s) which shall be posted for 30 consecutive days as there is an immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Cindy Meier informed licensee, Hazelyn Bugay to provide a copy of this licensing report dated 2/5/26 that documents the Type A citation 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 the licensee, Hazelyn Bugay.
A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Rajani Goudreau
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
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
SAN DIEGO CC RO, 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: 02/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/05/2026
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights. (a) Each child receiving services from a family childcare home shall have certain rights…These rights include, but are not limited to, the following: (4) To be free from corporal or unusual punishment, infliction of pain…intimidation…or other actions of a punitive nature...
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Licensee will develop a training session for licensee and all staff and will implement the CCLD video of Children’s Personal Rights in Child Care; https://ccld.childcarevideos.org/family-child-care-providers/childrens-personal-rights-in-child-care/child-care/
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This requirement was not met as evidenced by:
Based on interviews conducted and S1's admission, the licensee did not comply with the section cited above on 10/27/25, when S1 engaged inappropriate discipline of C1, which poses an immediate health and safety and/or personal rights risk to children in care.
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Licensee and staff will submit a written review summary after viewing the video and will submit it to the SDRO by 02/12/26.
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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: Rajani Goudreau
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
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