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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313614598
Report Date: 09/03/2024
Date Signed: 09/03/2024 03:47:41 PM

Document Has Been Signed on 09/03/2024 03:47 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 LINCOLN CROSSINGFACILITY NUMBER:
313614598
ADMINISTRATOR/
DIRECTOR:		RACHEL PETERSFACILITY TYPE:
840
ADDRESS:635 GROVELAND LANETELEPHONE:
(916) 409-0797
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY: 250TOTAL ENROLLED CHILDREN: 250CENSUS: 38DATE:
09/03/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH:Sofia RamirezTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On Tuesday, September 3, 2024, Licensing Program Analysts (LPA) Lea Habtom met with Site Supervisor Sofia Ramirez, for the purpose of a case management inspection. Upon arrival, LPA observed a census of 38 school age children being supervised by 4 staff and the Site Supervisor in the foyer and the multipurpose room. The program is located on Lincoln Crossing Elementary School. All individuals subject to criminal background review have obtained criminal record clearance to the STAR Oakhills #313600444.

The facility is requesting to add room H101 keeping the capacity at 250. The room is equipped with storage space with hangers. The school age children utilize the bathrooms and the school playground on campus. Measurements were not taken during today's inspection as this is a school age program operating on a school campus. Children bring their own labeled water bottles both inside and outside. There was a functioning carbon monoxide detector.

A fire clearance was granted by Lincoln Fire Department on August 30, 2024, to utilize room H101.

Based on today's inspection, there were no deficiencies cited. Effective September 3, 2024, the facility is granted to utilize the foyer, multipurporse room, the library and room H101. A Notice of Site Visit was provided and shall remain posted for 30 days. This report was reviewed with Site Supervisor, Sofia Ramirez.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2024
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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