313619586-12-22-2023-03-CC-KPES-CYXPUP-20231228103753

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313619586
Report Date: 12/15/2023
Date Signed: 12/22/2023 02:38:13 PM

Unsubstantiated

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
10/09/2023 and conducted by Evaluator Katrina Owens

COMPLAINT CONTROL NUMBER: 03-CC-20231009130826

FACILITY NAME:	MERRYHILL SCHOOL - FOOTHILLS		FACILITY NUMBER:	313619586
ADMINISTRATOR:	NATASA ZIVKOVIC		FACILITY TYPE:	850
ADDRESS:	3989 FOOTHILLS BOULEVARD		TELEPHONE:	(916) 782-2500
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	104	CENSUS: 86	DATE:	12/15/2023
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Natasa Zivkovic-Preschool Principal		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

RATIO: Facility was over ratio.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

An unannounced inspection was conducted today by Licensing Program Analyst Owens. LPA Owens met with Preschool Principal, Natasa Zivkovic. Present at time of inspection were 86 children with 14 staff. The purpose of the inspection was to conducted interviews and close the complaint investigation that was originally opened on October 16, 2023.

Based on conflicting interviews, the allegation that the facility was over ratio is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur. An exit interview was conducted. Appeal rights were given by way of email.

No citations issued. Notice of site visit posted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina Owens	TELEPHONE: (916) 879-1175
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023

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