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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313625036
Report Date: 08/29/2024
Date Signed: 08/29/2024 09:39:53 AM

Document Has Been Signed on 08/29/2024 09:39 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:STAR GATEWAYFACILITY NUMBER:
313625036
ADMINISTRATOR/
DIRECTOR:
PETERS, RACHELFACILITY TYPE:
840
ADDRESS:6550 LONETREE BLVDTELEPHONE:
(916) 632-8407
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY: 300TOTAL ENROLLED CHILDREN: 300CENSUS: 0DATE:
08/29/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Rachel PetersTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Jeremey McClain met with licensing representative Rachel Peters for the purpose of an unannounced Case Management inspection. The program is requesting to add room 107. The facility will be utilizing classrooms 101, 107, 202, 224 a business hub on the second floor, two multi-purpose rooms, and a gymnasium The program is operated at the Rocklin Academy Charter campus. No changes will be made to the program's capacity, the restrooms, or the playground areas. Room 107 will be only be utilized from 1:20 pm - 6:00 pm for TK children ages 4-5 years old. The fire clearance was granted on 08/16/2024.

The program hours of operation are Monday through Friday from 7:00 am to 6:00 pm.

LPA inspected Classroom 107. LPA observed sufficient child size tables, chairs, and storage. LPA observed a variety of age-appropriate equipment. A first-aid kit is available. Licensing representative stated medications and cleaning disinfectants will be stored in the classroom inaccessible to children. LPA did not observe any poisons or firearms on the premises. LPAs observed a functional carbon monoxide detector in the classroom. Facility has a designated space for isolation in the event a child becomes sick while in care.

Per Health and Safety Code1596.806 Exemption from square footage, toilet, isolation space, outdoor activity space, and fencing requirements, LPA did not measure the indoor and outdoor activity space.


As of today, room 107 is approved for usage. Exit interview conducted and report was reviewed with licensing representative Rachel Peters.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2024
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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