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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 317005900
Report Date: 02/06/2025
Date Signed: 02/06/2025 03:55:04 PM

Document Has Been Signed on 02/06/2025 03:55 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: 70DATE:
02/06/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Nathan Condie, Regional Director of OperationsTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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 On 2/6/24, Licensing Program Analyst (LPA), Kevin Mknelly, Regional Manager, Alycia Rayner and Licensing Program Manager, Maribeth Senty were present for a Non-compliance Conference via Microsoft Teams today with Mike Zueg, Zachary Butcher, Nathan Condie, Jessica Sanders and others who the licensee requested.

This meeting was called due to significant deficiencies noted at the facility from May 2024 to Present.
Topics discussed during this meeting were:
· Administrator qualifications
· Incidental Medical and Dental Care Services violations
· Personal Rights violations
· Internal and external communications systems and audits
· Staffing and staff training
· Observation of Resident-change in condition procedures for administrator and staff.

In today's meeting, the licensee agreed to the drafted non-compliance plan as outlined in LIC 9111.
A copy of this report will be provided to the facility via email. A copy will be signed and returned to CCLD.
Maribeth SentyTELEPHONE: (916) 263-4813
Kevin MknellyTELEPHONE: (209) 814-1925
DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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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