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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343608220
Report Date: 10/22/2024
Date Signed: 10/22/2024 11:12:37 AM

Document Has Been Signed on 10/22/2024 11:12 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:
343608220
ADMINISTRATOR/
DIRECTOR:		KEMMER, ROBINFACILITY TYPE:
830
ADDRESS:9561 HARBOUR PT. DRIVETELEPHONE:
(916) 683-3244
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 25DATE:
10/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Robin KemmerTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 10/22/2024, Licensing Program Analyst Katy Velazquez (LPA) conducted a field visit to the facility for the purpose of a Case Management inspection to amend a report dated 07/30/2024. LPA attempted to amend this report on 10/16/2024, but due to technical difficulties, was unable to amend the D-page. LPA arrived at the facility and was met by Director Robin Kemmer (D1). LPA disclosed the purpose of the inspection and was granted entrance into the facility. LPA observed a census of 25 infants. LPA determined, through accessing Guardian, that all required adults were background cleared and associated to the license.

No deficiencies were cited in the areas that were inspected today on 10/22/2024. An exit interview was conducted, and the report was reviewed with Director Kemmer. 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: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2024
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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