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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313600445
Report Date: 08/14/2025
Date Signed: 08/14/2025 02:04:43 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/30/2025 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250730123212
FACILITY NAME:GREENHILLS S.T.A.R.FACILITY NUMBER:
313600445
ADMINISTRATOR:RIDDLE, LISAFACILITY TYPE:
840
ADDRESS:8200 GREENHILLS WYTELEPHONE:
(916) 791-8448
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY:300CENSUS: 107DATE:
08/14/2025
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Lisa RiddleTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not provide a child with lunch.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jeremey McClain met with licensing representative Lisa Riddle to deliver findings for a complaint investigation. LPA observed 107 children supervised by 13 staff at the time of inspection.

It was alleged that a child in care did not receive lunch. During the investigation, LPA interviewed staff and reviewed documentation pertinent to the investigation. Based on interviews, the allegation is SUBSTANTIATED, as the preponderance of evidence standard has been met, and the allegation is corroborated.

A Type B deficiency is cited on the 9099-D page of the report. If not corrected, the deficiency is a potential threat to the health and safety of children in care.

LPA reviewed this report with the licensing representative Lisa Riddle. A Notice of Site Visit was provided and must be posted for 30 days. Appeal rights were provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 03-CC-20250730123212
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: GREENHILLS S.T.A.R.
FACILITY NUMBER: 313600445
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/14/2025
Section Cited
CCR
101227(a)(5)(B)
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Food Services. (a) In child care centers providing meals to children, the following shall apply: (5)The following shall be offered daily:(B)Full-day programs shall ensure that each child has a lunch. This requirement was not met as evidenced through admission during staff interviews.
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Program has created a checklist for staff to complete in order to ensure and document that each child has received a meal. A copy of the checklist and documentation of this plan shall be sent to LPA by POC due date: 08/14/2025.
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Staff stated that on 07/29/2025, during summer camp, C1 was not provided lunch. C1 arrived as lunch was ending that day and was not given a lunch due to misscommunication between staff. This is a potential risk to the health and safety of children in care.
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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.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2