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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343600373
Report Date: 07/11/2024
Date Signed: 07/11/2024 01:15:15 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
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240423115231
FACILITY NAME:MERRYHILL SCHOOL - LAGUNA PARKFACILITY NUMBER:
343600373
ADMINISTRATOR:MCKENZIE DAVISFACILITY TYPE:
830
ADDRESS:6613 LAGUNA PARK DRIVETELEPHONE:
(916) 684-4044
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:24CENSUS: 17DATE:
07/11/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:McKenzie DaviesTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Unqualified staff being left alone with day-care children
Staff are not properly cleaning day care children's cups
Staff did not prevent day care children from having access to mold
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 17 infants.
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 that teacher's aides were being used as substitute teachers and being left alone with day-care children. Staff interviews and staff schedules revealed that aides are being used as substitute teachers when they are partnered with fully qualified co-teachers. Unqualified staff are not being left alone with day-care children unless it is nap time.

CONTINUED ON 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
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)
Page: 1 of 2
Control Number 53-CC-20240423115231
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: 343600373
VISIT DATE: 07/11/2024
NARRATIVE
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It was alleged that staff are not properly cleaning children's sippy cups, which resulted in mold growth. Interviews did not reveal any disclosures of improper sanitization nor mold. LPA observed proper cleaning procedures and cups free from mold or any debris in all classrooms.
Based on interviews, observations, documentation, and other information gathered, there was not a preponderance of evidence to prove or negate the allegations, 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.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
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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