093624279-5-6-2022-03-CC-AMAT-CE6PBJ-20220506111026

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 093624279
Report Date: 05/06/2022
Date Signed: 05/06/2022 11:10:42 AM

Document Has Been Signed on 05/06/2022 11:10 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 BEES PRESCHOOL		FACILITY NUMBER:	093624279
ADMINISTRATOR:	ODOWD, KELLY		FACILITY TYPE:	850
ADDRESS:	1261 HAWKS FLIGHT COURT STE F		TELEPHONE:	(916) 990-5911
CITY:	EL DORADO HILLS	STATE: CA	ZIP CODE:	95762
CAPACITY:	36	CENSUS: 33	DATE:	05/06/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Kelly O'Dowd and Kaelin Kilby		TIME 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	Licensing Program Analyst (LPA) Arianna Manabat and Application Specialist (AS) Mai Lor met with Applicants Kelly O’Dowd and Kaelin Kilby for the purpose of an announced change of ownership pre-licensing inspection. This is a change of ownership from Busy Bees Preschool (093615280). Also present during this inspection is Suzanne Jones, current licensee. Applicant request a preschool license to serve 36 preschool children from age three to entry into Kindergarten. Census included 33 preschool children and 6 staff. The program will operate Monday through Friday from 8:15 AM to 11:15 AM and 12:15 PM to 3:15PM. The fire clearance was granted on 04/19/2022. LPA and AS reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, menus, and daily schedule. Applicant stated the facility will provide AM and PM snack. INDOOR ACTIVITY SPACE: There are two classrooms. LPA and AS observed sufficient amount of age- appropriate equipment, toys, tables, and cubbies. There is a first aid kit in each classroom. Applicant stated medications will stored on the top shelf of the cabinet above the sink. Applicant stated there are no firearms or weapon on the premises. Applicant stated indoor and outdoor drinking water will be provided via water pitchers with water cups. LPA and AS observed carbon monoxide detectors throughout the facility. LPA and AS observed a sign-in/sign-out sheet posted outside of each individual classroom. (Report continued on subsequent LIC 809)

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) -26-1414
LICENSING EVALUATOR NAME: Arianna Manabat	TELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2022

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: BUSY BEES PRESCHOOL	FACILITY NUMBER: 093624279
	VISIT DATE: 05/06/2022

NARRATIVE

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LPA and AS measured both classrooms. The total classroom space contains a total of 1263.88 square feet, which will accommodate the requested capacity for 36 preschool children. There are 5 toilets and 6 sinks available for children to use in the facility. There is a separate private restroom for the staff.

Children who become ill during the day will be isolated in the staff lounge and will use the staff restroom. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

OUTDOOR ACTIVITY SPACE:
There is one outdoor activity space for preschool children. The outdoor play area is surrounded by a fence that is at least four feet tall. LPA and AS observed awnings, overhead shade structure, and trees that can be utilized for shade. The playground contains bark and mixed substrates that are used for cushioning. LPA and AS observed sufficient amount of age appropriate equipment and toys. Applicant was reminded that children are to use age appropriate toys and equipment.

LPA and AS measured the outdoor space. The outdoor play area contains a total of 3471 square feet, which will accommodate Applicant's request for 36 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

LPA and AS discussed the following: 100% supervision is required at all times; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA and AS discussed with Applicant any changes that may occur regarding the Director or an employee acting in the Director's absence must be reported to department within 10 working days.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

(Report continued on subsequent LIC 809)

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) -26-1414
LICENSING EVALUATOR NAME: Arianna Manabat	TELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2022

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 BEES PRESCHOOL	FACILITY NUMBER: 093624279
	VISIT DATE: 05/06/2022

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Applicant was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Effective May 06, 2022, AS will approve a provisional license for a capacity of 36 preschool children, ages three years to entry into Kindergarten pending Licensing Program Manager’s final review.

Exit interview conducted and report was reviewed with the Applicants, Kelly O’Dowd and Kaelin Kilby.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) -26-1414
LICENSING EVALUATOR NAME: Arianna Manabat	TELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2022

LIC809 (FAS) - (06/04)

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