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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750078
Report Date: 06/27/2024
Date Signed: 06/27/2024 01:20:28 PM

Document Has Been Signed on 06/27/2024 01:20 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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:BUSY BEE ACADEMYFACILITY NUMBER:
367750078
ADMINISTRATOR/
DIRECTOR:		STEPHANIE BOUCHEYFACILITY TYPE:
860
ADDRESS:24929 NATIONAL TRAIL HWYTELEPHONE:
(760) 954-4446
CITY:HELENDALESTATE: CAZIP CODE:
92392
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 0DATE:
06/27/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Stephanie Bouchey TIME VISIT/
INSPECTION COMPLETED:
01:25 PM
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Licensing Program Analyst (LPA) Maddox met with applicant, Stephanie Bouchey today at the Palmdale Regional Office (PR0) to go over paperwork for her pending application submitted for a change of ownership. Applicant has recently closed escrow and assumed ownership of CAROUSEL OF KIDS PRESCHOOL AND DAY CARE (360909087 & 360909088).

During this meeting, LPA and applicant reviewed the NOIA and the following items are still outstanding or missing:
LIC 610 - relocation sites need letter of agreement
Better copy of In-Service Training
Toddler Authorization form
Daily Schedule of activities
Medical or Dental Emergency
Medication Policy
Updated Facility Sketch
Mandated Reporter training missing for Director
Admission Policies - forms have Carousel Kids.

At this time we are still awaiting a fire clearance - applicant states the fire department is scheduled to come out on Monday, July 1st, 2024.
Copy of this report was reviewed and signed by applicant, copy given at conclusion of inspection. Applicant was advised additional documents or information may be required as we navigate through the licensing process.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024
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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