<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701395
Report Date: 04/22/2021
Date Signed: 04/22/2021 11:41:29 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:BUSY BEES CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376701395
ADMINISTRATOR:MARY ANN CANALESFACILITY TYPE:
850
ADDRESS:561 THIRD AVENUETELEPHONE:
(619) 427-2337
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:8CENSUS: 8DATE:
04/22/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Monique MatthewsTIME COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 04/22/2021 at 11:10am, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced virtual case management inspection via FaceTime due to COVID-19 and met with Office Manager, Monique Matthews. There were 8 children and one (1) staff member at the time of the inspection.

The purpose of the inspection was to follow-up on a self reported incident on 04/14/2021 in which a child pulled the arm of another child while playing and pulled the arm out of the socket. Staff and parents were interviewed and records reviewed. The incident appears to be an accident. The facility responded timely and adequately to the incident.

No deficiencies issued during today’s inspection.

An exit interview was conducted with the office manager. LPA discussed and will provide the LIC809 and appeal rights via email. The office manager was advised that acknowledgement of receipt of the report is to be received within twenty-four hours.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021
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 1