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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393615623
Report Date: 04/02/2024
Date Signed: 04/02/2024 12:03:04 PM

Document Has Been Signed on 04/02/2024 12:03 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 - TRINITYFACILITY NUMBER:
393615623
ADMINISTRATOR:TAMARA WELLSFACILITY TYPE:
830
ADDRESS:10250 TRINITY PARKWAYTELEPHONE:
(209) 474-0518
CITY:STOCKTONSTATE: CAZIP CODE:
95219
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 0DATE:
04/02/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Norris, LisaTIME COMPLETED:
12:00 PM
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Licensing Program Manager (LPM) Chayntel Hunter, and Licensing Program Analyst (LPA) David Nguyen met with Facility Representative, Lisa Norris, for the purpose of an Informal Office Meeting. LPM Hunter defined the difference between a Non-Compliance and an Informal Meeting. LPM advised Ms. Lisa Norris that the purpose of today’s meeting is to help provider gain compliance.

Today's informal meeting was to discuss two Type A citations issued on 02. 28. 2024 for personal rights and lack of supervision. The facility was cited based on a review of a video clip that revealed Staff 2 (S2) abruptly placed an infant (C1) on a Boppy. In addition, LPA and LPM learned that Staff 4 (S4) stood from her side of her room, with her eyes focused on S2, and S4 recorded the interaction of S2 with the infant and provided NO support nor intervention to S2.

The Licensee stated that they have taken the following steps to maintain compliance:

1. Staff Meeting will be held to focus on Children’s Personal Rights and Care and Supervision
2. Principal, Tammy Wells will create a written statement for staff to sign that describes children’s personal rights expectations.
3. Facility participating in bi-weekly Licensing Call on Supervision and Personal Rights.
Report continues on LIC809-C...(Page 2)
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 04/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/02/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 04/02/2024
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(Page 2)

LPA and LPM reviewed regulations on Personal Rights and Supervision. LPM and LPA provided information regarding training videos on Personal Rights and Supervision and the Technical Support Program (TSP), which is a non-enforcement arm of the Community Care Licensing Division offering onsite support to licensees and providers. LPA will follow-up with Facility Representative, Lisa Norris for TSP services. LPA discussed using the Department website (ccld.ca.gov) for child care updates, legislatiorn, forms and regulation information. LPM suggested viewing information videos at www.ccld.childcarevideos.org.

This report was reviewed by Facility Representative, Lisa Norris.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2024
LIC809 (FAS) - (06/04)
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