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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343600372
Report Date: 03/11/2025
Date Signed: 03/11/2025 02:20:48 PM

Document Has Been Signed on 03/11/2025 02:20 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:MERRYHILL SCHOOL - LAGUNA PARKFACILITY NUMBER:
343600372
ADMINISTRATOR/
DIRECTOR:		DAVIES, MCKENZIEFACILITY TYPE:
850
ADDRESS:6613 LAGUNA PARK DRIVETELEPHONE:
(916) 684-4044
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 116TOTAL ENROLLED CHILDREN: 116CENSUS: 100DATE:
03/11/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:McKenzie DaviesTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 03/11/2025, Licensing Program Analyst Katy Velazquez (LPA) conducted an announced Case Management inspection. LPA arrived at the facility and was met by Director McKenzie Davies (D1). LPA disclosed the purpose of the inspection and was granted entrance into the facility. LPA toured the facility and observed 100 preschool aged children being supervised by 5 staff members during nap time. LPA determined, through accessing Guardian, that all required adults were background cleared and associated to the license.

The purpose of today's inspection was to confirm the removal of a staff member (S1). A 'Criminal Record Exemption Needed' letter, dated 02/26/2025, was received by the Department. LPA did not observe S1 to be present at the facility. D1 stated that S1 is not present at the facility and was no longer employed at the facility.

No deficiencies were cited today in the areas that were evaluated 03/11/2025. An exit interview was conducted and the report was reviewed with Director Davies. Licensee Appeal Rights were provided by LPA. A Notice of Site visit was posted by LPA and must remain posted near the main entrance for 30 days. Failure to comply with posting requirements will result in an immediate civil penalty of $100.


SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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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