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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313616840
Report Date: 08/24/2022
Date Signed: 08/24/2022 11:37:32 AM


Document Has Been Signed on 08/24/2022 11:37 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:STAR FRANKLIN PRESCHOOLFACILITY NUMBER:
313616840
ADMINISTRATOR:RIDDLE, LISAFACILITY TYPE:
850
ADDRESS:7050 FRANKLIN SCHOOL ROADTELEPHONE:
(916) 945-6212
CITY:LOOMISSTATE: CAZIP CODE:
95650
CAPACITY:30CENSUS: 0DATE:
08/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Chantelle ChubonTIME COMPLETED:
12:00 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
LPA Amanda Blesi arrived to the facility and met with Chantelle Chubon who states they no longer wish to have a preschool license at this site. No children were present today.

The facility will still utilize room #23 and the multi-purpose room for the school age license.

LPA will close the file upon return to the office.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:
DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2022
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