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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093624279
Report Date: 10/01/2024
Date Signed: 10/01/2024 11:55:22 AM

Document Has Been Signed on 10/01/2024 11:55 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BUSY BEES PRESCHOOLFACILITY NUMBER:
093624279
ADMINISTRATOR/
DIRECTOR:		BRINCKA, CARMIEFACILITY TYPE:
850
ADDRESS:1261 HAWKS FLIGHT COURT STE FTELEPHONE:
(916) 933-3797
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 26DATE:
10/01/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Kelly O'DowdTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
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On October 1, 2024, Licensing Program Analyst (LPA) Soleil Marx, met with Facility Representative, Kelly O'dowd, for the purpose of conducting an unannounced case management inspection to follow up on a self-reported incident. The purpose of today's inspection was explained.

During today's inspection, LPA observed a census of 26 children being supervised by six staff, in two separate classrooms.

It was reported to Sacramento Regional Office that on September 26, 2024, the facility called emergency personnel for a 3 year old child who was bit by a rattlesnake in the outdoor activity space of the facility. The child sustained injuries and medical treatment was needed.

LPA verified the facility is in compliance with CCR 101212, reporting requirements.

During today's inspection, LPA made observations of facility environment and protocols, reviewed records relevant to the incident, and interviewed staff and children that were present the day of the incident.

No Title 22 deficiencies are being cited at this time.

Exit interview was conducted and a copy of this report was given to the Facility Representative. A Notice of Site was provided and must remain posted for 30 days. Appeal rights provided.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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