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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343616190
Report Date: 10/05/2022
Date Signed: 10/05/2022 11:33:23 AM

Document Has Been Signed on 10/05/2022 11:33 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
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: 31DATE:
10/05/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Jude DomondonTIME COMPLETED:
11:50 AM
NARRATIVE
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On 10/05/2022, at approximately 8:15AM, Licensing Program Analysts (LPAs) Alize Tillery and Mandie Goodwin arrived to the facility to conduct a case management inspection. Upon arrival, LPAs observed 9 toddler children outdoors, supervised by 3 staff and 22 preschool children outdoors, supervised by 2 staff.

LPAs are conducting a case management inspection based on an Unusual Incident Report (UIR), that was received on 9/29/2022 by the Director via email, about an incident that occurred on 9/28/2022. The UIR explained an incident where two children were found engaging in an inappropriate activity, due to a lack of supervision. Parent #1 observed the two children in the tunnel of the play structure and informed Director on what the children were observed to be doing. Director stated that she has since spoken to both families and has spoken with staff about closely monitoring the playground area, specifically the tunnel, and staff will review with children about respect, boundaries and personal space.

During LPAs inspection, LPAs conducted interviews with 4 staff members. Staff interviews revealed that staff ensure they are constantly moving and circulating both indoor and outdoor areas to ensure there is full supervision of the children. LPAs observed otherwise, during today's visit. LPAs observed a lack of supervision in the outdoor play area, as staff neglected the back end of the preschool play yard (near the play structure), as both staff were observed to be at the top side of the play yard (near the sandbox). Based on observations and staff interviews, transition periods in the morning/drop off time and evening/pick up time, staff struggle and are unable to provide 100% supervision of the children, as staff are providing snacks, signing children in and out and communicating with parents. Director stated that she will reiterate to staff the importance of spreading out and conduct a staff training on supervision.

Based on observations and information obtained from the UIR and staff interviews, there has been a lack of supervision, which is an immediate risk to children in care. Therefore the facility is cited a Type A deficiency, for lack of supervision. Deficiency is listed on the following 809D page.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE: DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/05/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 10/05/2022 11:33 AM - It Cannot Be Edited


Created By: Alize Tillery On 10/05/2022 at 11:03 AM
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: 10/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/06/2022
Section Cited
CCR
101229(a)(1)

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(a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Director stated that she will provided staff trainings on supervision and create a staff schedule that will allow them to provide better supervision. Director will submit proof to LPA Tillery by POC date.
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This requirement was not met, evidenced by: Based on observations and staff interviews, there is a lack of supervision during transistion periods, and staff are unable to provide 100% supervision.
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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: 10/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/05/2022


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: 10/05/2022
NARRATIVE
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Director acknowledges, that for TYPE A DEFICIENCIES ONLY upon receipt, Directors shall post LIC 9099-D with Type A deficiency for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the Directors. LIC9224 and Appeal Rights were provided. An exit interview was conducted and a Notice of Site Visit posted.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
LIC809 (FAS) - (06/04)
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