313614598-10-11-2019-03-CC-ABLI-BGURYC-20191011132608

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313614598
Report Date: 10/11/2019
Date Signed: 10/11/2019 01:26:14 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:	STAR LINCOLN CROSSING		FACILITY NUMBER:	313614598
ADMINISTRATOR:	PETERS, RACHEL		FACILITY TYPE:	840
ADDRESS:	635 GROVELAND LANE		TELEPHONE:	(916) 409-0797
CITY:	LINCOLN	STATE: CA	ZIP CODE:	95648
CAPACITY:	250	CENSUS: 12	DATE:	10/11/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Sofia Ramirez		TIME COMPLETED:	02:00 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 (LPAs) Amanda Blesi and Katrina Owens met with teacher Sofia Ramirez for a random annual inspection. Director Rachel Peters showed up later during the inspection. This facility is located on Lincoln Crossing Elementary School grounds in the multipurpose room and library (as needed). The facility operates Monday through Friday from 6:30am - 6:30pm. The facility provides snacks for the children. LPA toured the facility including all activity/classroom areas, the isolation area and food service area. LPA reviewed care and supervision of children, staffing ratios, health related services, furniture, equipment, drinking water and food service provisions. There were 10 school age children present supervised by three staff. The facility uses the elementary school playground and the elementary school bathrooms. LPA reviewed the children's Identification and Emergency Information. LPA reviewed personnel's education and immunization requirements. All staff currently employed with the center have criminal record clearances and are associated to the Oakhills S.T.A.R. #313600444 waiver on file. At least one staff member present today has current EMSA approved Pediatric/Child CPR and First Aid. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 To order forms please visit our website at www.ccld.ca.gov

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019

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: STAR LINCOLN CROSSING	FACILITY NUMBER: 313614598
	VISIT DATE: 10/11/2019

NARRATIVE

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Mandated Reporter Training
LPA advised the Director on the new regulation AB 1207- California Child Care Worker: Mandated Reporter Training. The licensee and staff must complete the training every two years starting January 1, 2018 and retain proof of completion in the facility file. The training can be taken online at: mandatedreporterca.com. LPA observed staff have completed the training.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiencies are cited during today's inspection.

Licensing report was reviewed and discussed with director. Copy of Appeal Rights left with Center Representative/licensee.

A COPY OF THIS REPORT MUST REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
NOTICE OF SITE VISIT FORM POSTED TO PARENT'S BOARD.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019

LIC809 (FAS) - (06/04)

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