313623338-11-27-2023-03-CC-KPES-CYATHV-20231207134521

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313623338
Report Date: 11/27/2023
Date Signed: 11/27/2023 02:07:15 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO 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
10/30/2023 and conducted by Evaluator Jeremey McClain

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20231030133604

FACILITY NAME:	MERRYHILL SCHOOL - ROCKLIN		FACILITY NUMBER:	313623338
ADMINISTRATOR:	MELISSA MOENNING		FACILITY TYPE:	850
ADDRESS:	5893 STANFORD RANCH ROAD		TELEPHONE:	(916) 624-4511
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95765
CAPACITY:	156	CENSUS: 89	DATE:	11/27/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Melissa Moenning		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff spoke inappropriately to daycare child.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Jeremey McClain met with facility representative Melissa Moenning to deliver findings for a complaint investigation. LPA observed 89 children supervised by 9 staff.

It was alleged that a staff spoke inappropriately by to child in care in by calling them a swear word in response to their behavior.

During the investigation, LPA interviewed staff and attempted to interview the child involved, which he was unable to. The evidence gathered is inconclusive.

The preponderance of evidence standard has not been met; therefore, the allegation is determined to be UNSUBSTANTIATED. The allegation can neither be corroborated nor dismissed.

No Title 22 deficiencies will be issued as a result of the investigation. LPA reviewed this report with facility representative Melissa Moenning, and provided a Notice of Site Visit that must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023

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 3