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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313619586
Report Date: 12/17/2024
Date Signed: 12/17/2024 01:05:04 PM

Document Has Been Signed on 12/17/2024 01:05 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:MERRYHILL SCHOOL - FOOTHILLSFACILITY NUMBER:
313619586
ADMINISTRATOR/
DIRECTOR:
NATASA ZIVKOVICFACILITY TYPE:
850
ADDRESS:3989 FOOTHILLS BOULEVARDTELEPHONE:
(916) 782-2500
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY: 104TOTAL ENROLLED CHILDREN: 104CENSUS: 89DATE:
12/17/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:50 AM
MET WITH:Natasa ZivkovicTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Arianna Manabat met with Director Natasa Zivkovic for the purpose of a case management - licensee initiated inspection. The Applicant is requesting to decrease their capacity from 104 preschool children to 92 preschoolers with a toddler option. The request is a capacity of 76 preschoolers ages two years to entry into first grade and 16 toddler option children ages 18-36 months. The program will operate Monday through Friday from 6:30 a.m. to 6:00 p.m. The fire clearance was granted and received on 8/15/2024.

INDOOR ACTIVITY SPACE:
The new configuration of classrooms will be as follows:
Rooms 113, 114, 116, 119, and 121 will be designated to the preschool license. During today's visit, LPA Manabat measured a total of 3,586.27 sqft. which will accommodate the requested capacity of 92 children. During today's visit, LPA Manabat observed a total of eight sinks and eight toilets available for use. LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots.

OUTDOOR ACTIVITY SPACE:
There are two outdoor areas on the property. The infant outdoor area is directly connected to the Merryhill building. The preschool yard is located closer to the parking lot and can be accessed by walking through the infant yard. The Director is aware that the preschool outdoor yard measures for 3,239.08 square feet and will not accommodate the requested capacity of 92 preschoolers. LPA Manabat stated that the applicant would need to submit a waiver request for insufficient outdoor space.

Exit interview conducted and report was reviewed with the Director.
The following items are required before a license will be issued:
1. Final file review from Licensing Program Manager (LPM).
2. Pending two insufficient outdoor waiver requests; one for preschool and one for the infant component.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
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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