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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400320
Report Date: 09/16/2021
Date Signed: 09/16/2021 10:41:37 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/20/2021 and conducted by Evaluator Yangcheng Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20210820140503
FACILITY NAME:MERRYHILL SCHOOL 1072FACILITY NUMBER:
434400320
ADMINISTRATOR:BILBRO, HEATHERFACILITY TYPE:
850
ADDRESS:750 NORTH CAPITOL AVENUETELEPHONE:
(408) 254-1280
CITY:SAN JOSESTATE: CAZIP CODE:
95133
CAPACITY:117CENSUS: 92DATE:
09/16/2021
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Heather BilbroTIME COMPLETED:
10:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Oscar Huang, conducted an unannounced complaint investigation to the Facility today to deliver investigation findings. LPA met with Principal, Heather Bilbro, and explained the nature of today's visit to her.

Based on interviews of Pricipal, staff & complainant, reviews child, facility records & evidences, and LPA's own observations for the complaint allegation listed above. It could not be proved or disproved.

LPA therefore concludes that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations is UNSUBSTANTIATED.

Exit interview conducted with Pricipal. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2021
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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