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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343608219
Report Date: 04/24/2024
Date Signed: 04/24/2024 11:44:06 AM

Document Has Been Signed on 04/24/2024 11:44 AM - 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 - HARBOUR POINTFACILITY NUMBER:
343608219
ADMINISTRATOR/
DIRECTOR:		STEPHANIE GILLFACILITY TYPE:
850
ADDRESS:9561 HARBOUR POINT DRIVETELEPHONE:
(916) 683-3244
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 115DATE:
04/24/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Stephanie GillTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 04/24/2024, Licensing Program Analyst Katy Velazquez (LPA) conducted a field visit to the facility for the purpose of a case management inspection. LPA arrived at the facility and was met by Director Stephanie Gill (D1). LPA disclosed the purpose of the inspection and was granted entrance. LPA toured the facility and observed 115 preschool aged children who were being supervised by 16 staff members. LPA determined, through accessing Guardian, that all required adults were background cleared and associated to the license. LPA requested staff files to review.

NO TITLE DEFICIENCIES were cited during today's inspection on 04/24/2024. An exit interview was conducted, and the report was reviewed with Director Gill. LPA provided D1 with Licensee Appeal Rights. A Notice of Site visit was posted by LPA and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2024
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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