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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343617610
Report Date: 12/06/2024
Date Signed: 12/06/2024 11:16:21 AM

Substantiated


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
10/04/2024 and conducted by Evaluator Christopher Bello
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20241004092033
FACILITY NAME:MERRYHILL SCHOOL - POCKETFACILITY NUMBER:
343617610
ADMINISTRATOR:TERRIE COOKFACILITY TYPE:
850
ADDRESS:7335 PARK CITY DRIVETELEPHONE:
(916) 424-2299
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY:170CENSUS: 108DATE:
12/06/2024
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Terrie CookTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff are not meeting day care children's toileting needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christopher Bello arrived at approximately 10:40am and met with Director Terrie Cook to close a complaint investigation, regarding the above allegation. Upon arrival, LPA observed 108 Children. LPA made observations, gathered documents pertaining to the investigation and conducted interviews. It was alleged that a child left the facility with feces on their clothing from toileting. Staff interviews have corroborated the allegation. This is considered as an immediate risk to the children in care. Based on LPA’s investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED.
Director stated that they have done a training to ensure future incidenst will not occur and has broken up the classroom into smaller groups to meet the needs of the children.

Title 22 deficiencies are cited on the subsequent page of this report. Type Acknowledgement forms are to be signed by current parent of the facility and new parents for the next twelve months. LIC 9224 and Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Terrie Cook.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024
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 03-CC-20241004092033
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: MERRYHILL SCHOOL - POCKET
FACILITY NUMBER: 343617610
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/07/2024
Section Cited
CCR
101223(a)(2)
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To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement has not been met by evidence: Child left the facility with feces on clothing. This is considered as an immediate risk to the children in care.
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Director stated that they have done a training regarding the incident in order for prevent future incidents from occuring. They have also broken the classroom into smaller groups inorder to meet the needs of the children. Director will send it to LPA by POC date 12/7/2024.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2