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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
343614044
Report Date:
07/31/2024
Date Signed:
04/17/2025 11:31:53 AM
Document Has Been Signed on
04/17/2025 11:31 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 CC RO
,
9835 GOETHE ROAD, SUITE 100
SACRAMENTO
,
CA
95827
FACILITY NAME:
MERRYHILL SCHOOL-DANBROOK
FACILITY NUMBER:
343614044
ADMINISTRATOR/
DIRECTOR:
ROBIN KEMMER
FACILITY TYPE:
830
ADDRESS:
1901 DANBROOK DR
TELEPHONE:
(916) 285-8656
CITY:
SACRAMENTO
STATE:
CA
ZIP CODE:
95835
CAPACITY:
30
TOTAL ENROLLED CHILDREN:
30
CENSUS:
86
DATE:
07/31/2024
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:
Robin Kemmer
TIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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This is an amended document. Original LIC-809 was created incorrectly for infant license - 343614044. Document should have been assigned to preschool license of facility- 343614049. Please find contents of this report in LIC-809 dated 31 July 2024 under Preschool license - 343614049.
NAME OF LICENSING PROGRAM MANAGER:
Amanda Blesi
NAME OF LICENSING PROGRAM ANALYST:
Fabian Schwartz
LICENSING PROGRAM ANALYST SIGNATURE:
DATE:
04/17/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809
(FAS) - (06/04)
Page:
1
of
3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO
,
9835 GOETHE ROAD, SUITE 100
SACRAMENTO
,
CA
95827
FACILITY NAME:
MERRYHILL SCHOOL-DANBROOK
FACILITY NUMBER:
343614044
VISIT DATE:
07/31/2024
NARRATIVE
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This is an amended document. Original LIC-809 was created incorrectly for infant license - 343614044. Document should have been assigned to preschool license of facility- 343614049. Please find contents of this report in LIC-809 dated 31 July 2024 under Preschool license - 343614049.
NAME OF LICENSING PROGRAM MANAGER
:
Amanda Blesi
NAME OF LICENSING PROGRAM ANALYST
:
Fabian Schwartz
LICENSING PROGRAM ANALYST SIGNATURE
:
DATE:
04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/17/2025
LIC809
(FAS) - (06/04)
Page:
2
of
3
Document is an Amendment of
Original Document
on
04/17/2025 10:14 AM
Created By:
Fabian Schwartz
On
07/31/2024
at
12:31 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO
,
9835 GOETHE ROAD, SUITE 100
SACRAMENTO
,
CA
95827
FACILITY NAME:
MERRYHILL SCHOOL-DANBROOK
FACILITY NUMBER:
343614044
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
07/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/01/2024
Section Cited
CCR
101229(a)(1)
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This is an amended document. Original LIC-809 was created incorrectly for infant license - 343614044. Document should have been assigned to preschool license of facility- 343614049. Please find contents of this report in LIC-809 dated 31 July 2024 under Preschool license - 343614049. CItation is left blank and can be found under preschool license -343614049.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Amanda Blesi
LICENSING EVALUATOR NAME:
Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:
DATE:
04/17/2025
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/17/2025
LIC809
(FAS) - (06/04)
Page:
3
of
3