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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313600444
Report Date: 09/25/2024
Date Signed: 09/25/2024 02:25:21 PM

Document Has Been Signed on 09/25/2024 02:25 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:STAR OAKHILLSFACILITY NUMBER:
313600444
ADMINISTRATOR/
DIRECTOR:		CONNIE GAUDIOFACILITY TYPE:
840
ADDRESS:9233 TWIN SCHOOL RDTELEPHONE:
(916) 791-8442
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY: 300TOTAL ENROLLED CHILDREN: 300CENSUS: 112DATE:
09/25/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:14 PM
MET WITH:Connie GaudioTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Jeremey McClain met with licensing representative Connie Gaudio for the purpose of a room addition. Facility request to add room 101 to their licensed rooms while the capacity will remain at 300. 112 children were present with 11 staff. LPA conducted a health and safety evaluation of room 310.

LPA observed age appropriate furniture and equipment. First aid supplies and storage space were observed. Two additional bathrooms are in the room that the facility plans to use. LPA observed a water fountain/sink combo, that was not included in the facilities lead inspection. LPA informed licensing representative that the water would need to be tested before use. Licensing representative stated that she has alternatives to use until testing is completed.

A approved fire clearance was granted for 49 children in room 310 was granted on 09/16/2024.

Effective today 09/25/2024, room 310 is approved for use. Rooms 101, 310, 504, and 505, as well as the gymnasium are now approved for use.

Exit interview was conducted and the report was reviewed with licensing representative Connie Gaudio . LPA provded a Notice of Site Visit that must remain posted for 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
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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