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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093609172
Report Date: 09/12/2019
Date Signed: 10/22/2019 02:39:34 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/22/2019 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20190822094435
FACILITY NAME:SHERIDAN, MARIAN CAROLFACILITY NUMBER:
093609172
ADMINISTRATOR:SHERIDAN,MARIAN CAROLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 939-0334
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY:14CENSUS: 8DATE:
09/12/2019
UNANNOUNCEDTIME BEGAN:
02:44 PM
MET WITH:Marian Carol SheridanTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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License-Day care operates out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Elvira Sierra conducted an unannounced complaint inspection and met with Licensee, Marian sheridan, to deliver findings on the above allegation. It was allegued that facility operates out of ratio. Upon arrival, present in the facility was Licensee caring for 8 children, 4 were infants and 4 preschool children. Licensee's helper came back later during the inspection.
The licensee was over ratio in today’s inspection. Based upon LPA's own observations on today's inspection; The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
Title 22 Deficiencies have been cited on the subsequent page of this report. Upon receipt, Licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for 12 months. The LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt (LIC 9224 was provided).
An exit interview was conducted in which the report was reviewed and discussed with Licensee. Appeal rights were discussed, and a printed version was given to Licensee.







Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/22/2019 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20190822094435

FACILITY NAME:SHERIDAN, MARIAN CAROLFACILITY NUMBER:
093609172
ADMINISTRATOR:SHERIDAN,MARIAN CAROLFACILITY TYPE:
810
ADDRESS:2500 BUSSELTON PLACETELEPHONE:
(916) 939-0334
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY:14CENSUS: 8DATE:
09/12/2019
UNANNOUNCEDTIME BEGAN:
02:44 PM
MET WITH:Marian Carol SheridanTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Other-Baby Jumper is kept on the premises of day care.
Physical Plant-Care is provided in off limit areas in FCCH
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elvira Sierra met with Licensee, Marian Sheridan to conduct an unannounced complaint inspection for the above complaint allegations. During today’s inspection there were 4 infants, 4 preschool children present being supervised by Licensee. Lecensee's helper came back later during today's inspection.
It was alleged that the facility provide care in off limit areas and that a baby jumper is kept on the daycare area. LPA conducted interviews with complainant, Licensee, parents and staff. During the investigation, LPA conducted unannounced inspections to the facility, and observed that the off limit bedroom doors in the upstairs level were closed and stairs leading to the upstairs level had a gate to prohibit children from going to the upstairs. Parents that were interviewed did not observe care being provided in the off limit area and LPA was given conflicting information regarding a baby jumper being in the day care area.

Based on the information obtained and interviews; Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.No Title 22 Deficiencies cited, and Notice of Site Visit posted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20190822094435
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: SHERIDAN, MARIAN CAROL
FACILITY NUMBER: 093609172
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/12/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/13/2019
Section Cited
CCR
102416.5(e)
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102416.5 (e) Staffing Ratio and Capacity
(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not as evidence by;
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POC: Licensee stated that assistant will stay until closing rather than leaving early when exceed small license capacity. LPAs provided the licensee with a form that shows the ratio/capacity for a Large FCCH. LPA will conduct a second inspection to verify correction.
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On today's inspection LPA observed Licensee caring for 8 children (4 infants, 4 preschool). This is a violation that poses an immediate risk to the health and safety of the 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.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3