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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313600444
Report Date: 11/15/2023
Date Signed: 11/15/2023 02:40:02 PM


Document Has Been Signed on 11/15/2023 02:40 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:STAR OAKHILLSFACILITY NUMBER:
313600444
ADMINISTRATOR:JENNIFER WALKERFACILITY TYPE:
840
ADDRESS:9233 TWIN SCHOOL RDTELEPHONE:
(916) 791-8442
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY:300CENSUS: 76DATE:
11/15/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Connie GuadioTIME COMPLETED:
02:45 PM
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) Jeremey McClain met with licensing representative Connie Gaudio for the purpose of a room addition. Facility request to add room 101 to their licensed rooms while the capacity will remain at 300. 76 children were present with 11 staff. LPA conducted a health and safety evaluation of room 101.

LPA observed age appropriate furniture and equipment. First aid supplies and storage space were observed. Two additional bathrooms are in the room that the facility plans to use. LPA observed a water fountain/sink combo, that was not included in the facilities lead inspection. LPA informed licensing representative that the water would need to be tested before use. Licensing representative stated that she has alternatives to use until testing is completed.

A approved fire clearance was granted for 300 children 11/14/2023.

Effective today 11/15/2023, room 101 is approved for use.

Exit interview was conducted and the report was reviewed with licensing representative Connie Gaudio . LPA provded a Notice of Site Visit that must remain posted for 30 days.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2023
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