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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093623763
Report Date: 12/17/2024
Date Signed: 12/17/2024 01:30:29 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/13/2024 and conducted by Evaluator Soleil Marx
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20241213105011
FACILITY NAME:BUZY BEEZ LLCFACILITY NUMBER:
093623763
ADMINISTRATOR:ROBERTS, SHANNONFACILITY TYPE:
850
ADDRESS:2869 COLD SPRINGS ROADTELEPHONE:
(530) 497-5248
CITY:PLACERVILLESTATE: CAZIP CODE:
95667
CAPACITY:30CENSUS: 12DATE:
12/17/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Shannon RobertsTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Children are fed food which they are allergic to
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Soleil Marx, met with Director, Shannon Roberts, for the purpose of conducting an unannounced complaint investigation inspection alleging that children are fed food which they are allergic to. Throughout the course of the investigation, LPA made observations, conducted interviews, and reviewed records. It was determined by record review of child's file, posted allergy list, and staff interviews, that a child in care with a documented nut allergy was served peanut butter. The peanut butter was removed immediately by staff when they realized their mistake, however the child had already taken a bite of the restricted food. The facility notified authorized representatives immediately. The child did not have an allergic reaction nor did the child need medical attention, however the facility failed to adhere to the child's dietary restrictions. Based on LPAs record review and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. A title 22 deficiency was cited on the subsequent page of this report. Exit interview conducted,report reviewed with Director, appeal rights provided. Notice of site visit given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/13/2024 and conducted by Evaluator Soleil Marx
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20241213105011

FACILITY NAME:BUZY BEEZ LLCFACILITY NUMBER:
093623763
ADMINISTRATOR:ROBERTS, SHANNONFACILITY TYPE:
850
ADDRESS:2869 COLD SPRINGS ROADTELEPHONE:
(530) 497-5248
CITY:PLACERVILLESTATE: CAZIP CODE:
95667
CAPACITY:30CENSUS: 12DATE:
12/17/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Shannon RobertsTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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2
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5
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9
Staff groomed a child's hair without consent from the responsible party
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Soleil Marx, met with Director, Shannon Roberts, for the purpose of conducting a complaint investigation alleging that staff groomed a child's hair without consent from the responsible party. Throughout the course of the investigation, LPA made observations, conducted interviews, and reviewed records. It was revealed that hair accessories were cut out of a child's hair. Interviews conducted with staff and children revealed consistent statements that a child's hair ribbon was cut out using scissors due to the child requesting it be taken out while crying of pain that their hair was too tight during nap time. It was stated that staff were unable to remove or loosen the hair ribbon without cutting it, so it was removed with scissors and put in a bag for authorized representative to retrieve at pick up. LPA did not observe any documentation requesting that staff refrain from touching the child's hair prior to this incident. Review of parent handbook states to send child to school in comfortable play attire and that clothing and hair may get messy. Staff statements were consistent in that hair accessories are removed if a child requests it, it is causing a child pain, or interfering with their ability to particiapate in activities. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted,report reviewed with Director, appeal rights provided. Notice of site visit given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 03-CC-20241213105011
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BUZY BEEZ LLC
FACILITY NUMBER: 093623763
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/07/2025
Section Cited
CCR
101227(a)(7)(B)
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101227 Food Services: (B) A child shall not be served any food to which the child's record indicates he/she has an allergy. This requirement was not met, as evidenced by:
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Director will conduct a staff training on food services and will submit training material and staff signatures to LPA by poc due date.
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Based on record review and interview, the licensee did not ensure a child's dietary restictions were followed, which poses a potential Health, Safety, or Personal Rights risk to persons in care.
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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.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3