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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313623338
Report Date: 08/01/2024
Date Signed: 08/01/2024 01:24:06 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
07/29/2024 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240729152431
FACILITY NAME:MERRYHILL SCHOOL - ROCKLINFACILITY NUMBER:
313623338
ADMINISTRATOR:MELISSA MOENNINGFACILITY TYPE:
850
ADDRESS:5893 STANFORD RANCH ROADTELEPHONE:
(916) 624-4511
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY:156CENSUS: 84DATE:
08/01/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Melissa MoenningTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
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9
Child Sustatined unexplained injuries while in care.
INVESTIGATION FINDINGS:
1
2
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13
Licensing Program Analyst (LPA) Jeremey McClain met with facility representative Melissa Moenning to deliver findings for a complaint investigation. LPA observed 84 children supervised by 18 staff.
It was alleged that a child suffered unexplained injuries while at the facility. During the investigation, LPA reviewed child and staff files, interviewed staff, and observed the classrooms and playground. LPA was unable to confirm that a child suffered bruises while they were in care.

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: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
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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