313614598-8-17-2023-03-CC-LHAM-CUSRR7-20230817131439

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313614598
Report Date: 08/17/2023
Date Signed: 08/17/2023 01:14:45 PM

Document Has Been Signed on 08/17/2023 01:14 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 LINCOLN CROSSING		FACILITY NUMBER:	313614598
ADMINISTRATOR:	RACHEL PETERS		FACILITY TYPE:	840
ADDRESS:	635 GROVELAND LANE		TELEPHONE:	(916) 409-0797
CITY:	LINCOLN	STATE: CA	ZIP CODE:	95648
CAPACITY: 250	TOTAL ENROLLED CHILDREN: 250	CENSUS: 6	DATE:	08/17/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:25 PM
MET WITH:	Sofia Ramirez		TIME COMPLETED:	01:25 PM

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On August 17, 2023, Licensing Program Analyst (LPA) Lea Habtom met with Site Supervisor, Sofia Ramirez, for the purpose of a required annual inspection. This facility is located on Lincoln Crossing Elementary School Campus. The facility utilizes the multipurpose room and the gym. There was a census of 6 transitional kindergarten children present supervised by one staff and the site supervisor. All criminal record clearances are associated to OAKHILLS STAR.

Facility representative 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.

LPA toured the classroom, outdoor play area and restrooms. The facility uses the school playground and restrooms for the children. Staff stated there are no children who require medications. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. Facility shares the school restroom. The floors appeared clean throughout the facility. All food was protected against contamination. Children bring their own snacks and staff have extra snacks available. Drinking water was readily available to children both indoors and outdoors. Children bring their own labeled water bottles and the facility has a water pitcher. There are no firearms or bodies of water on the premises. LPA observed a functional carbon monoxide detector. Staff and children files were reviewed. At least one staff member present today has current Pediatric CPR and First Aid certification. LPA reviewed the Department's inspection authority and discussed 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.

Report continued on 809-C.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: STAR LINCOLN CROSSING	FACILITY NUMBER: 313614598
	VISIT DATE: 08/17/2023

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided an updated 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

Staff are encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

There were no Title 22 Deficiencies cited during today's inspection. Appeal Rights given.

Exit interview conducted and report was reviewed with the facility representative Sofia Ramirez. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

LIC809 (FAS) - (06/04)

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