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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393615391
Report Date: 06/03/2019
Date Signed: 06/03/2019 12:48:55 PM

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:BIZZY-BEEZ ACADEMYFACILITY NUMBER:
393615391
ADMINISTRATOR:MARRERO, SHANTELFACILITY TYPE:
850
ADDRESS:500 E. 11TH STREETTELEPHONE:
(209) 834-2223
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:60CENSUS: 39DATE:
06/03/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Alicia NevesTIME COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mary Ponce met with Director Shantell Marrero for a Case Management- Deficiencies inspection. During a separate inspection, LPA Ponce observed 18 children in a classroom with 1 staff member. The Ratio for the Preschool license is 12 children for every 1 staff member. This puts the children's Health and Safety in immediate risk. The facility Immediately added another staff member to the classroom.

Title 22 regulations are cited on the subsequent page of this report. FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 809D with Type A deficiencies 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. The LIC 9224 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 licensee (LIC 9224 was provided).

Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit must remain posted for 30 days.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Mary PonceTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2019
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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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: BIZZY-BEEZ ACADEMY
FACILITY NUMBER: 393615391
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/04/2019
Section Cited
CCR
101216.3(a)
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There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
This regulation was not met based
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POC: an extra staff member immediately joined the classroom to supervise the 18 children. Director will submit proof of schedules to prevent the program from being out of ratio.
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on evidence of one staff member supervising 18 children in a separate classroom.
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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: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Mary PonceTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2