393615579-7-6-2023-53-CC-CHUR-CTLNHE-20230710102837

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393615579
Report Date: 07/06/2023
Date Signed: 07/06/2023 04:19:25 PM

Substantiated

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
06/19/2023 and conducted by Evaluator David Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20230619161611

FACILITY NAME:	MERRYHILL SCHOOL - TRINITY		FACILITY NUMBER:	393615579
ADMINISTRATOR:	TAMARA WELLS		FACILITY TYPE:	850
ADDRESS:	10250 TRINITY PARKWAY		TELEPHONE:	(209) 474-0518
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95219
CAPACITY:	163	CENSUS: 61	DATE:	07/06/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Tammy Wells		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff wrap children during naptime.

INVESTIGATION FINDINGS:

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On July 6th, 2023, at 1:00 PM, Licensing Program Analyst (LPA) David Nguyen conducted a complaint investigation visit and met with Principal, Tammy Wells. The purpose of the inspection visit was to deliver the finding for the above allegation. LPA disclosed the purpose of the inspection and was granted entrance. LPA toured the facility and observed sixty-one (61) children being supervised by eight (8) adults.

During the course of the investigation, LPA Nguyen conducted interviews with principal, teachers, children, and parents. In addition, LPA obtained information pertaining to allegation and observed the care and supervision of the daycare children. It was alleged that staff # 8 (S8) wrapped child # 1 (C1) during naptime. Interviews conducted revealed that there was time that S8 wrapped C1 during naptime while in care.

Based on the interviews conducted, it was determined that the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following Title 22 Deficiency is being cited on the subsequent 9099-D page.
----Report continues on subsequent page LIC 9099

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David Nguyen	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

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 5

Control Number 53-CC-20230619161611

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 - TRINITY	FACILITY NUMBER: 393615579
	VISIT DATE: 07/06/2023

NARRATIVE

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Upon receipt of Type A citations, the Principal shall post and provide copies of the LIC 9099-D for parents/guardians of children in care and for parents/guardians of newly enrolled children for the next 12 months. Principal must also keep the signed LIC 9224, acknowledging receipt of LIC 9099-D in each child's file.

An exit interview conducted, and report was reviewed with the Principal, Tammy Wells. Appeal of Rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.

SUPERVISOR'S NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David Nguyen	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 53-CC-20230619161611

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 - TRINITY	FACILITY NUMBER: 393615579
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/06/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/06/2023 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Staff Meeting will be held to focus on Personal Rights. Director will email LPA the sign-in sheet from this meeting. Director will create a written statement for staff to sign that describes discipline policy and procedures will be expected of staff for the future.
	8 9 10 11 12 13 14	Based on interviews conducted, it was revealed that S8 wrapped day care child or children during naptime while in care. This poses an immediate health, safety, or personal rights risk to children in care.	8 9 10 11 12 13 14	Director will email the signed statements to LPA.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David Nguyen	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 5

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
06/19/2023 and conducted by Evaluator David Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20230619161611

FACILITY NAME:	MERRYHILL SCHOOL - TRINITY		FACILITY NUMBER:	393615579
ADMINISTRATOR:	TAMARA WELLS		FACILITY TYPE:	850
ADDRESS:	10250 TRINITY PARKWAY		TELEPHONE:	(209) 474-0518
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95219
CAPACITY:	163	CENSUS: 61	DATE:	07/06/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Tammy Wells		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff do not properly supervise daycare children.
Staff do not assist with managing daycare child's behavior.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), David Nguyen conducted an unannounced field visit to deliver the findings for the above allegations. LPA arrived at the facility and was met by Principal, Tammy Wells. LPA disclosed the purpose of the inspection and was granted entrance. LPA toured the facility and observed sixty-one (61) children being supervised by eight (8) adults.

It was alleged that the “Staff do not properly supervise daycare children.” And “Staff do not assist with managing daycare child's behavior.” During the investigation, LPA, Nguyen inspected the facility and interviewed the Principal, Teachers, Parents, and Children. Based on the information obtained throughout the course of this investigation, the above allegations could not be substantiated or dismissed. During the interviews, LPA Nguyen found conflicting information regarding the allegations. 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.

Report continues on LIC9099-C....

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David Nguyen	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

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

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 53-CC-20230619161611

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 - TRINITY	FACILITY NUMBER: 393615579
	VISIT DATE: 07/06/2023

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	An exit interview was conducted in which the report was reviewed and discussed with the Principal. LPA provided a copy of the report and Appeal Rights to the Principal. A Notice of Site visit was posted by LPA and Licensee understands it must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.

SUPERVISOR'S NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David Nguyen	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC9099 (FAS) - (06/04)

Page: 5 of 5