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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343616190
Report Date: 03/04/2022
Date Signed: 03/04/2022 03:50:43 PM

Document Has Been Signed on 03/04/2022 03:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:BUSY BEE CHILDHOOD DEVELOPMENT CENTERFACILITY NUMBER:
343616190
ADMINISTRATOR:DOMONDON, JUDITHFACILITY TYPE:
850
ADDRESS:1618 27TH STREETTELEPHONE:
(916) 457-7348
CITY:SACRAMENTOSTATE: CAZIP CODE:
95816
CAPACITY: 82TOTAL ENROLLED CHILDREN: 82CENSUS: 64DATE:
03/04/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Diana YactayoTIME COMPLETED:
01:30 PM
NARRATIVE
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On March 4, 2022, at approximately 9:45 AM, Licensing Program Analyst (LPA) Alize Tillery met with Assistant Director Diana Yactayo for the purpose of an unannounced required 1 year annual inspection. Upon arrival, LPA observed 48 preschool children supervised by 6 staff and 16 toddler children supervised by 4 staff. The facility hours of operation are Monday through Friday from 7:00 AM to 5:45 PM. The facility does not offer transportation services.

LPAs toured all activity and classroom spaces (Upstairs Hive, Downstairs Hive and Honeycomb room), kitchen, restrooms and outdoor play area. LPA observed children two years and above to be wearing masks while indoors. LPA discussed current COVID19 mandates and guidelines with Director. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, and daily schedule. Cleaning disinfectants, medications and hazardous items are appropriately stored and inaccessible to children. Director stated there are no poisons or firearms on the premises. Furniture and equipment are in good condition, and toileting facilities are in safe, sanitary and operating condition. Floors appeared to be clean throughout the facility. LPA observed loose carpet becoming undone on the stairs the children use to transition outside, which appears to be a potential tripping hazard. Director stated that it is scheduled to be fixed over the weekend. The program provides breakfast, lunch and two snacks.



LPA observed trash bins with tight fitted lids. Drinking water is readily available to children both indoors and outdoors. Director stated that there is a water pitcher that is used to fill the children’s personal cups. LPAs observed the facility’s sign in and out sheet at the entrance. Facility has record of conducting fire drills at least every six months; last fire drill was conducted on 2/24/2022. Playground equipment and surfaces are free of loose or sharp parts. There are sufficient equipment and toys, and there are shaded areas supplied by hanging sun shades and large trees.

Report continues on 809-C.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2022
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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Document Has Been Signed on 03/04/2022 03:50 PM - It Cannot Be Edited


Created By: Alize Tillery On 03/04/2022 at 12:03 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: BUSY BEE CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 343616190

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(e)(1)
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in that Staff #4 and Staff #6 were present and working prior to being fingerprint cleared, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/05/2022
Plan of Correction
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Staff #4 and Staff #6 left the facility. Director submitted a correspondence to LPA Tillery stating that she understands that staff are to be live scanned, fingerprint cleared and associated to the facility prior to working.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
SUPERVISOR'S NAME:Seychelle De Luca
LICENSING EVALUATOR NAME:Alize Tillery
LICENSING EVALUATOR SIGNATURE:
DATE: 03/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/04/2022


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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: BUSY BEE CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 343616190
VISIT DATE: 03/04/2022
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8 staff and 10 children's files were reviewed. Both children and staff files were observed to be complete. During staff record review, LPA learned that Staff #4 and Staff #6 were not fingerprint cleared. Staff #4 and Staff #6 left the facility and will not return till fingerprint cleared. At least one staff member present today has a current Pediatric CPR and First Aid certification that expires on 8/15/2022. LPA observed a current Children’s Roster on file, that has been maintained for three years. Director is aware that napping toddlers under the age of 2 years old must be checked on, and documented, every 15 minutes. LPA reminded Licensees that 100% supervision is required at all times. LPAs observed a functional carbon monoxide detector, smoke detector and fire extinguisher. LPA reviewed the Department's inspection authority and discussed with designee any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within ten working days.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.


Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA is provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm



Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Report continues...
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: BUSY BEE CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 343616190
VISIT DATE: 03/04/2022
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Deficiencies are cited on the following 809D page. Upon receipt, licensee shall post and provide copies of this licensing report to parents/ guardians of children who are currently enrolled as well as parents/guardians of children newly enroll at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC 9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the Director, Diana Yactayo.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2022
LIC809 (FAS) - (06/04)
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