343600372-7-11-2024-53-CC-KGUA-D7BTFS-20240719144200

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343600372
Report Date: 07/11/2024
Date Signed: 07/11/2024 01:05:35 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
04/23/2024 and conducted by Evaluator Katy Velazquez

COMPLAINT CONTROL NUMBER: 53-CC-20240423115228

FACILITY NAME:	MERRYHILL SCHOOL - LAGUNA PARK		FACILITY NUMBER:	343600372
ADMINISTRATOR:	MCKENZIE DAVIS		FACILITY TYPE:	850
ADDRESS:	6613 LAGUNA PARK DRIVE		TELEPHONE:	(916) 684-4044
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95758
CAPACITY:	116	CENSUS: 72	DATE:	07/11/2024
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	McKenzie Davies		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff are not following illness protocol
Facility did not report injury to parent

INVESTIGATION FINDINGS:

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On 07/11/2024, Licensing Program Analyst Katy Velazquez (LPA) conducted an unannounced field visit to deliver the findings for the above allegations. LPA arrived at the facility and was met by Director McKenzie Davies (D1). LPA disclosed the purpose of the inspection and was granted entrance. LPA observed a census of 72 preschool aged children.
Throughout the course of the investigation, LPA conducted physical plant inspections, on-site observations, interviews, reviewed and collected documentation. LPA reviewed the facility’s file and collected documentation pertaining to the allegations.
It was alleged staff do not accurately report temperatures. Staff and parent interviews did not reveal any corroboration for this allegation. LPA observed health policies and protocols. LPA learned that on one occasion, a parent had administered Tylenol to a child without the staff's knoweldge; this could have resulted in a child having a masked fever.
CONTINUED ON 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR NAME: Katy Velazquez	TELEPHONE: 916-926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 53-CC-20240423115228

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: MERRYHILL SCHOOL - LAGUNA PARK	FACILITY NUMBER: 343600372
	VISIT DATE: 07/11/2024

NARRATIVE

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It was alleged that the facility did not notify a parent when the child received a red mark on the forehead. Staff interviews, and documentation, revealed that a child fell off of a chair and hit their head in the morning. The teacher immediately addressed the issue and first-aide was not required. The teacher was on a break when the parent picked-up the child and was not able to verbally report the injury. The parent messaged the teacher the same afternoon, and the teacher immediately responded and informed the parent about the injury. The teacher had intended to have a completed Incident Report signed by administration before her shift ended at 5:00 PM.
Based on interviews, observations, documentation, and other information gathered, there was not a preponderance of evidence to prove or negate the allegation, therefore the allegations are UNSUBSTANTIATED. In the areas that were evaluated on 07/11/2024, no deficiencies were cited during today's inspection. An exit interview was conducted with Director Davies, and Appeal Rights were provided by LPA. A Notice of Site visit was posted by LPA and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR NAME: Katy Velazquez	TELEPHONE: 916-926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024

LIC9099 (FAS) - (06/04)

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