343626182-1-8-2025-03-CC-ASIS-DCQS77-20250108123706

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343626182
Report Date: 01/08/2025
Date Signed: 01/08/2025 02:10:00 PM

Document Has Been Signed on 01/08/2025 02:10 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	MERRYHILL SCHOOL		FACILITY NUMBER:	343626182
ADMINISTRATOR/ DIRECTOR:	MELENDEZ, CELYNA		FACILITY TYPE:	860
ADDRESS:	2905 11TH AVENUE		TELEPHONE:	(408) 507-0174
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95817
CAPACITY: 198	TOTAL ENROLLED CHILDREN: 198	CENSUS: 0	DATE:	01/08/2025
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Ana Field		TIME VISIT/ INSPECTION COMPLETED:	01:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Alecia Sifuentes met with Director of Compliance/Licensee Representative (LR) Ana Field for the purpose of a pre-licensing inspection. Applicant requests an infant component for 52 infants ages 6 weeks to 24 months and a preschool component for 146 children ages two years to entry into kindergarten for a total capacity of 198. The program will operate Monday through Friday from 7:30 a.m. to 5:30 p.m. The fire clearance was granted and received on 12/16/2024. The facility will provide am and pm snacks. Parents will provide formula and baby food for the infants. LPA reviewed with LR the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. LPA discussed the safe sleep regulations with LR and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed LR of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. INDOOR ACTIVITY SPACE: This facility has three levels; Lower Level, Main Floor, and Upper Level. There are four infant classrooms in Rooms I1, I2, and T1 which is located on the Main Floor and Room T2 which is located on the Lower Level. LPA observed eight cribs located in Room I1 and sixteen cribs located in Room I2. LPA observed several diaper changing tables within arms reach of a sink for the infants. Report continues on LIC809-C page 2.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025

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 4

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	FACILITY NUMBER: 343626182
	VISIT DATE: 01/08/2025

NARRATIVE

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Page 2.

There are seven preschool classrooms in Room IN1, IN2, B1, and B2 which is located on the Main Floor, Room B3 which is located on the Lower Level, and Rooms PK1 and PK2 which is located on the Upper Level. LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. There is a first aid kit in each of the classrooms. Medications will be stored in the front lobby. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. LR stated there are no poisons or firearms on the premises. LPA observed water dispensers in each of the classrooms. LPA observed a dual smoke and carbon monoxide detectors throughout the building. LPA observed an electronic sign-in/sign-out system.

LPA measured the infant classrooms (Room I1, I2, T1, & T2). The total classroom spaces contain a total of 2,260 square feet, which will accommodate Applicant's request for 52 infants. LPA observed eight sinks and two toilets if needed. LPA measured the preschool classrooms (IN1, IN2, B1. B2, B3, PK1, & PK2). The total classroom spaces contain a total of 5,445 square feet, which will accommodate Applicant’s request for 146 preschool children. LPA observed thirteen toilets and twenty one sinks for the preschool children. There is a separate private restroom for the staff located in the front lobby plus additional staff restrooms throughout the building. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the isolation room located on the Main Floor and will use the isolation restroom next door, if necessary.

OUTDOOR ACTIVITY SPACE:
There are three outdoor area on the property (Infant Yard 1, Yard 2 Infant Area/Preschool Area, and Preschool Yard 1). Yard 2 is split between the infants and preschool children. Applicant has split the yard using temporary dividers so that the infants can utilize the concrete space towards the left and the preschool children can use the play structure space towards the right. Preschool Yard 1 was previously a parking area, but have been converted into a large outdoor space. LPA observed that the facility has another designated parking area for families and staff across the street.

The outdoor play areas are fenced with a wrought iron fence, chain link fence, and brick wall that is at least four feet tall. LPA observed a sufficient amount of equipment and toys.

Report continues on LIC809-C page 3.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025

LIC809 (FAS) - (06/04)

Page: 2 of 4

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	FACILITY NUMBER: 343626182
	VISIT DATE: 01/08/2025

NARRATIVE

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There is a play structure located on Infant Yard 1 that includes a safety label, which designates use for children 6 to 23 months and there is another play structure located on Preschool Yard 2 that includes a safety label, which designated use for children 2 to 5 years old. There are no bodies of water on the premises. There are shaded areas supplied by trees and overhangs.

LPA measured Infant Yard 1 and Yard 2 (Infant Area). The infant outdoor play areas contains a total of 4,333 square feet, which will accommodate Applicant's request for 52 infants. LPA measured Preschool Yard 1 and Yard 2 (Preschool Area). The preschool outdoor play areas contains a total of 20,315 square feet, which will accommodate Applicant's request for 146 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with LR any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

Report continues on LIC809-C page 4.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025

LIC809 (FAS) - (06/04)

Page: 3 of 4

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	FACILITY NUMBER: 343626182
	VISIT DATE: 01/08/2025

NARRATIVE

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LR was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

LR was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Written Directives for Lead Testing in Child Care Centers: Assembly Bill 2370, Chapter 676, Statutes of 2018, added Health and Safety Code section 1597.16 requiring all licensed Child Care Centers constructed before January 1, 2010, test their water for lead between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing. For a license issued on or after July 1, 2022, initial testing results shall be received and posted within 180 days of licensure.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the Director of Compliance/Licensee Representative Ana Field.

Effective today, 1/8/2025, LPA will approve the facility for 52 infants ages 6 weeks to 24 months and 146 preschool children ages two years to entry into kindergarten.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025

LIC809 (FAS) - (06/04)

Page: 4 of 4