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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 317005900
Report Date: 01/29/2025
Date Signed: 01/29/2025 05:09:51 PM

Document Has Been Signed on 01/29/2025 05:09 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 NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:MEADOW OAKS OF ROSEVILLEFACILITY NUMBER:
317005900
ADMINISTRATOR/
DIRECTOR:		JESSICA SANDERSFACILITY TYPE:
740
ADDRESS:930 OAK RIDGE RDTELEPHONE:
(916) 774-0200
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY: 108TOTAL ENROLLED CHILDREN: 0CENSUS: 72DATE:
01/29/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Regional Clinical SpecialistTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
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On 1/29/30, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management and met with Regional Clinical Specialist (RCS) who requested a meeting with LPA to assist in resolving outstanding plans of correction. A licensee representative had asked for assistance.

LPA and RCS discussed incidents and visits that resulted in citations issued 1/14/25 and 1/22/25 for which plans of corrections have not submitted to date. LPA reestablished time-limes and content needed for outstanding POCs.

Licensee, or designee, will email to LPA 1/30/25 to present the plans of corrections for these outstanding A citations be submitted by 2/3/24. Additionally B citation POCs are still due on time.

As a result of today’s inspection, no deficiencies were noted.

Report reviewed with . Copy of report and appeal rights provided
Maribeth SentyTELEPHONE: (916) 263-4813
Kevin MknellyTELEPHONE: (209) 814-1925
DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
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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