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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393615623
Report Date: 02/28/2024
Date Signed: 02/28/2024 02:04:37 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
02/08/2024 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240208145945
FACILITY NAME:MERRYHILL SCHOOL - TRINITYFACILITY NUMBER:
393615623
ADMINISTRATOR:TAMARA WELLSFACILITY TYPE:
830
ADDRESS:10250 TRINITY PARKWAYTELEPHONE:
(209) 474-0518
CITY:STOCKTONSTATE: CAZIP CODE:
95219
CAPACITY:40CENSUS: 26DATE:
02/28/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Tammy WellsTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff not meeting child's needs
INVESTIGATION FINDINGS:
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On February 28th, 2024, at 10:00 AM, Licensing Program Analyst (LPA) David Nguyen and Licensing Program Manager (LPM) Chayntel Hunter 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 both LPA Nguyen and LPM Hunter were granted entrance. LPA toured the facility and observed twenty-six (26) children present and being supervised by seven (7) adults.

During the course of the investigation, LPA Nguyen conducted interviews with the Principal, Teachers, and Reporting Party. In addition, LPA Nguyen obtained information pertaining to allegation and observed the care and supervision of the daycare children.

Report continues on LIC9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024
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 3
Control Number 53-CC-20240208145945
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: 393615623
VISIT DATE: 02/28/2024
NARRATIVE
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It was alleged that “Staff not meeting child’s needs.” Through record (video clip) review, LPA Nguyen learned that there was a time that facility staff did not meet the childcare child’s needs while the childcare child was in their care. LPA Nguyen learned that Staff 2 (S2) abruptly placed the infant on the Boppy. In addition, interviews conducted revealed that there was a time that facility staff did not meet the childcare child’s needs while the childcare child was in their care. LPA Nguyen learned that Staff 4 (S4) stood from her side of her room, and her eyes focused on S2, and S4 recorded the interaction of S2 with the infant while S2 held the infant with the school iPad, and S4 provided NO support and intervention to S2 to help S2 with the infant.

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.

Upon receipt of Type A citations, the Director 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. Director 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 Director, 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.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20240208145945
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: 393615623
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/28/2024
Section Cited
CCR
101223(a)(2)
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(a) (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:
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Staff Meeting will be held to focus on Children’s Personal Rights. Principal, Tammy Wells will email LPA Nguyen the sign-in sheet from this meeting. Principal, Wells will create a written statement for staff to sign that describes children’s personal rights will be expected of staff for the future.
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Based on interviews conducted, it was revealed that S2 abruptly placed the infant on the Boppy while S4 recorded the interaction of S2 with the iPad and provided no support and intervention to S2. This poses an immediate health, safety, or personal rights risk to children in care.
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Principal, Tammy Wells will email the signed statements to LPA Nguyen.
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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: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024
LIC9099 (FAS) - (06/04)
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