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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 053614375
Report Date: 09/29/2022
Date Signed: 10/20/2022 10:39:34 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/13/2022 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20220613135308
FACILITY NAME:STALCUP, MERLITAFACILITY NUMBER:
053614375
ADMINISTRATOR:STALCUP, MERLITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 785-2657
CITY:COPPEROPOLISSTATE: CAZIP CODE:
95228
CAPACITY:14CENSUS: 3DATE:
09/29/2022
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Merlita StalcupTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Personal Rights-Adult in the home disciplines children inappropriately
INVESTIGATION FINDINGS:
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This is an amended report from original report.
On Thursday, September 29, 2022, Licensing Program Analysts (LPAs) Elvira sierra and Tiffanie Diep met with Licensee, Merlita Stulcup for an unannounced complaint visit to deliver the findings for the above allegation. Present in the faciliy was Licensee caring for three daycare children.

During the course of the investigation, LPAs observed the care and supervision of the children, interviewed licensee, staff, parents and reviewed pertaining information. It was alleged that S1 yells at children and that S1 hit C1 with a chair for pulling the Licensee’s dog’s tail. Interviews with day care children, parents and S1 corroborated that S1 does yell at day care children when they misbehave. C1 stated S1 hit C1’s leg with a chair for pulling the dog’s tail. S1 denied the allegation and stated they stood up abruptly when C1 pulled the dog’s tail to prevent C1 from being bit and in so doing the chair may have slid and hit C1’s leg. There were no witnesses to corroborate the dog and chair incident. However, several interviews corroborated that S1 has taken a day care child by the arm and dragged them across the floor to time out. Therefore, the facility is being cited a Type A violation for personal rights on the following LIC9099D page.
Report continues on subsequent page 809C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022
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-20220613135308
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: STALCUP, MERLITA
FACILITY NUMBER: 053614375
VISIT DATE: 09/29/2022
NARRATIVE
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Based on LPAs interviews which were conducted, and record reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

California Code of Regulations, Title 22, Division 12 & Chapter 1 is being cited. This report must be provided to parents and parents must sign LIC9224 (Acknowledgement of Receipt of Licensing Reports). Form must remain in all children's files including newly enrolled children for the next 12 months.

Exit interview was conducted. This report and appeals of Rights were reviewed to Licensee, Merlita Stalcup. Notice of Site Visit was posted and should remain posted for 30 days.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20220613135308
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: STALCUP, MERLITA
FACILITY NUMBER: 053614375
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/29/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/30/2022
Section Cited
CCR
102423(a)(1)(4)
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This is an amended report.
102423 Personal Rights (a)(1)(4)
(a) Each child receiving services from a family child care home shall have certain rights... These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons.
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Licensee and Licensee's assistant (S1) agrees that at no time may staff roughly handle or yell, shout or demean children in care. LPA will provided information and video link for a training regarding licensing expectations and requirements concerning personal rights of children. LPA received a written statement from S1 stating he understands violation.
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(4) To be free from corporal or unusual punishment, infliction of pain....This requirement was not met as evidence by; On an unknown date S1 grabbed the arm of C1 and dragged C1 across the floor to time out. S1 also hollers/yells at day care children when they misbehave. This poses an immediate risk to the health and safety to the children in care.
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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: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3