343608220-9-1-2021-53-CC-JBIK-C6FQ6V-20210901115411

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343608220
Report Date: 09/01/2021
Date Signed: 09/01/2021 11:54:19 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	MERRYHILL SCHOOL-HARBOUR PT.		FACILITY NUMBER:	343608220
ADMINISTRATOR:	STEPHANIE GILL		FACILITY TYPE:	830
ADDRESS:	9561 HARBOUR PT. DRIVE		TELEPHONE:	(916) 683-3244
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95758
CAPACITY:	30	CENSUS: 17	DATE:	09/01/2021
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Stephanie Gill		TIME COMPLETED:	12:00 PM

NARRATIVE

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On 09/01/2021 at 8:45 AM Licensing Program Analyst (LPA) Jeevun Birk-Miller and Cherry Nepomuceno met with Director, Stephanie Gill for the purpose of an unannounced annual random inspection. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. Census included 17 infants being supervised by eight members. Facility hours of operation are Monday through Friday from 6:30 AM to 6:00 PM.

LPAs toured the building including all activity and classroom spaces, restrooms, food service, and outdoor play areas. Currently, no infants in care require medications. Poisons are not kept on premises. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. Infant changing tables have a padded surface that is washable and at least one-inch-thick, and they have raised sides that are at least three inches high. The floors appeared clean throughout the facility. The food preparation space is free of litter and all food was protected against contamination. LPAs observed that storage containers for solid waste and diaper disposal have tight-fitting covers. LPAs observed that the infant's bottles are labeled and taken home daily. Program provides morning snack, lunch, and snacks for toddlers and infants who are on solids. Menus were posted and drinking water was readily available to children both indoors and outdoors.

LPAs observed parents are signing in/out properly using the sing-in and out binders. LPAs observed the infant's Needs and Services Plans and Infant Individual Sleeping Plans are current. LPA observed the Individual Sleep Plans and how the staff are logging the checks 15-minute checks while infants are sleeping. Three staff and four children's records were reviewed. Each child's file contained an emergency card, a medical assessment, and Needs and Services Plan. All staff currently employed with the facility have a criminal record clearance, health screening report, and documentation of the educational background, training, and/or experience. At 10:46 AM LPA observed that all of the staff files reviewed were missing their Mandated Reporter certificates. Report continues on 809-C

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun Birk	TELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: MERRYHILL SCHOOL-HARBOUR PT.	FACILITY NUMBER: 343608220
	VISIT DATE: 09/01/2021

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Director stated she would ensure that all the staff take and complete the training. At least one staff member present today has current Pediatric CPR and First Aid certification (exp. 05/2023). All staff currently employed with the facility have a criminal record clearance, health screening report, and documentation of the educational background, training, and/or experience. LPAs observed teachers had the infant/toddler course. LPA reminded Assistant Director that 100% supervision is required at all times, including in the napping room. LPA reiterated information the new Safe Sleep Regulations; she stated they are already practiced and understood. Director stated at this time all nap materials are sent home at the end of the day, but are able to wash on site if needed.

There are no firearms or bodies of water on the premises. LPA observed a functional carbon monoxide detector. LPA reviewed the Department's inspection authority and discussed with Director any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within ten working days.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA verified the annual fees are current.

This facility evaluation report was reviewed and discussed with the Assistant Director. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. Director was encouraged to the visit the department's website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

In the areas that were evaluated, the following Type-B deficiencies were cited under California Code of Regulation Title 22. Refer to the 809-D page of this report.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun Birk	TELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: MERRYHILL SCHOOL-HARBOUR PT.	FACILITY NUMBER: 343608220
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/01/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/15/2021 Section Cited	1 2 3 4 5 6 7	On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years
	8 9 10 11 12 13 14	following the date on which he or she completed the initial mandated reporter training his requirement is not met as evidenced by: Based on record review of three staff files did not have current mandated reporter training certificates. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun Birk	TELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

LIC809 (FAS) - (06/04)

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