313625034-8-3-2023-03-CC-JMCN-CUCSCD-20230803134521

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313625034
Report Date: 08/03/2023
Date Signed: 08/03/2023 01:45:28 PM

Document Has Been Signed on 08/03/2023 01:45 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 ROCKLIN ACADEMY		FACILITY NUMBER:	313625034
ADMINISTRATOR:	BARKER, JODI		FACILITY TYPE:	840
ADDRESS:	6532 TURNSTONE WAY		TELEPHONE:	(916) 632-8407
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95765
CAPACITY: 300	TOTAL ENROLLED CHILDREN: 300	CENSUS: 0	DATE:	08/03/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Michelle Brashier		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 (LPA) Jeremey McClain met with applicant/licensing representative Michelle Brashier for the purpose of an announced pre-licensing inspection. Applicant is requesting a school-age license to serve 300 school-age children enrolled in transitional kindergarten to 14 years old. The facility is located on the Rocklin Academy Charter at the Ruhkala Elementary campus. The facility will be utilizing classrooms Vappa, K6, and the multi-purpose room. The fire clearance was granted on 06/29/2023. The program offers before and after school care. The facility hours of operation are Monday through Friday from 7am to 6pm. The facility requested for a waiver for all employee clearances to be associated to Oakhills STAR school age @ Oakhills Elementary #313600444. The waiver request is granted, and the Licensee Representative understands the waiver must be posted at all times and the conditions of the waiver must be met. The applicant stated the facility will not provide childcare services until the following school year (August 2023). LPA reviewed with applicant the LIC 311A; records to be maintained at the facility to include child’s records, personnel records, and administrative records; and documents to be posted. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, menus, and daily schedule. The facility will provide afternoon snack. INDOOR ACTIVITY SPACE: LPA inspected the classrooms and the multi-purpose room. LPA observed sufficient number of child size tables, chairs, and storage. LPA observed a variety of age-appropriate toys and equipment. Continued...

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023

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 ROCKLIN ACADEMY	FACILITY NUMBER: 313625034
	VISIT DATE: 08/03/2023

NARRATIVE

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First aid kits are available in all spaces. Applicant stated medications and cleaning disinfectants will be stored in the classroom inaccessible to children. Applicant stated there are no poisons or firearms on the premises. LPA observed a functional carbon monoxide detector in the classroom. Applicant stated they will be utilizing a paper sign in/out system. Applicant stated water will be provided via bottled water. Water fountains are located in the classroom and on the playground. Facility has a designated space in the classroom for isolation in the event a child becomes sick while in care.

Per Health and Safety Code1596.806 Exemption from square footage, toilet, isolation space, outdoor activity space, and fencing requirements, LPA did not measure the indoor and outdoor activity space.
Per the Applicant, the facility will utilize the outdoor activity space and the school’s restrooms. Facility submitted a certification statement signed by the superintendent that the classroom building is of sufficient size to accommodate public instruction.

OUTDOOR ACTIVITY SPACE:
The facility will use one playground area and the black top located on the school campus outdoor play area. The playground was free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. The areas around and under high climbing equipment, swings, slides and other similar equipment are cushioned with material that absorbs falls. The area includes a space for shade.

Applicant was informed that: For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).LPA referred applicant to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated. Continued...

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023

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 ROCKLIN ACADEMY	FACILITY NUMBER: 313625034
	VISIT DATE: 08/03/2023

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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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) or (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.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

This application requires further review by the Department.

Exit interview conducted and report was reviewed with Applicant, Michelle Brashier.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023

LIC809 (FAS) - (06/04)

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