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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313611146
Report Date: 08/22/2024
Date Signed: 08/22/2024 03:49:34 PM

Document Has Been Signed on 08/22/2024 03:49 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 FOSKETT RANCHFACILITY NUMBER:
313611146
ADMINISTRATOR/
DIRECTOR:		KYLA DEHKORIFACILITY TYPE:
840
ADDRESS:1561 JOINER PARKWAYTELEPHONE:
(916) 434-5884
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY: 200TOTAL ENROLLED CHILDREN: 200CENSUS: 19DATE:
08/22/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:50 PM
MET WITH:Mackenzie DaileyTIME VISIT/
INSPECTION COMPLETED:
04:05 PM
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On August 22, 2024, Licensing Program Analyst (LPA) Lea Habtom conducted a 1-year required annual inspection. At the time of LPA arrival there were 19 school age children outside with 3 staff and the site supervisor. The facility is located on Foskett Ranch Elementary School grounds and utilizes the Art Room and Multipurpose Room. Facility hours of operation are Monday – Friday 11:20am – 6:00PM. The facility operates Monday through Friday and varies during the summer. The children provide their own snack and facility also has back up snacks for emergencies.

LPA toured the facility. LPA reviewed care and supervision of children, staffing ratios, health related services, furniture, equipment, drinking water, and food service provisions. Children have bring their own labeled water bottles both indoor & outdoors. The facility has a waiver to share the outdoor space with the elementary school and is used at alternate times than the school. There are two play structures with one being utilized which is the small play structure. There is also a blacktop area and shaded picnic tables. The facility uses the school restrooms.

LPA reviewed children's files which were observed to be complete. LPA reviewed personnel's education and immunization requirements. All staff currently employed with the center have criminal record clearances and are associated to the STAR Oakhills facility #313600444; a waiver is on file and waiver is posted. At least one staff member present today has current EMSA approved Pediatric/Child CPR and First Aid.

REPORT CONTINUED ON NEXT PAGE
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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 FOSKETT RANCH
FACILITY NUMBER: 313611146
VISIT DATE: 08/22/2024
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There are no children on medication. 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. When any IMS is provided, a Plan for Providing 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.html.

LPA verified fees are current. LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the director can obtain updated licensing information, new regulations and access forms. LPA advised director of their responsibility to stay current in regards to new regulations. LPA also included the email address for the children's advocacy program to stay current on new laws childcareadvocatesprogram@dss.ca.gov.

No Title 22 Deficiencies observed in the areas that were evaluated. LPA reviewed report with the site supervisor Mackenzie Dailey and copies were provided. An exit interview was conducted. LPA posted the Notice of Site Visit and advised it must remain posted for 30 days. Appeal Rights provided.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC809 (FAS) - (06/04)
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