073407400-7-23-2021-52-CC-MPRE-C57RR8-20210723131444

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073407400
Report Date: 07/23/2021
Date Signed: 07/23/2021 01:14:49 PM

COMPREHENSIVE INSPECTION

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	GODDARD SCHOOL, THE		FACILITY NUMBER:	073407400
ADMINISTRATOR:	INGRID ESCALANTE		FACILITY TYPE:	830
ADDRESS:	100 GATEKEEPER RD		TELEPHONE:	(925) 560-9694
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94582
CAPACITY:	53	CENSUS:	DATE:	07/23/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Ingrid Escalante and Anjum Khemani		TIME COMPLETED:	01:00 PM

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On 7/23/2021 at 8:00am Licensing Program Analyst (LPA) Morgan Pringle and Licensing Program Manager (LPM) Jason Jang met with Director Ingrid Escalante and Owner Anjum Khemani for an Unannounced Annual Inspection. Eight (8) classrooms were toured for a health and safety inspection. The school also is licensed with a toddler option. There were eleven (11) teachers, twelve (12) infants and forty-four (44) preschool children present during the inspection.

The facility has age appropriate materials and napping equipment that is observed to be clean and in good condition. The indoor and outdoor activity space for the infants is separated from the preschool by a latched gate. All outdoor spaces have proper shading for children. All toxins, cleaning products, medications, and hazardous materials were observed to be in inaccessible areas. All sinks and toilets were observed to be clean and in proper working order. The kitchen/food preparation area was observed to be clean.

The facility is operating within its licensed capacity. The facility is also within ratio today. LPA and LPM did not observe any bodies of water at the facility.

LPA and LPM obtained the facility roster and a sample of the children’s files and the staff files. All teachers and children’s files were observed to be complete. File and disaster drill log was obtained and the last drill was logged on 7/22/2021.

Owner is reminded that ALL staff and adults, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3,000 per person, per incident. Owner was reminded of the responsibility as a mandated reporter.

Cont on 809-C

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GODDARD SCHOOL, THE	FACILITY NUMBER: 073407400
	VISIT DATE: 07/23/2021

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All fire/disaster drill must be conducted every six months and documented. The Owner is reminded that any structural changes to the facility or additions to the childcare facility must be reported to Community Care Licensing.

Owner was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

This report was read and given to the Owner for a signature. There are no deficiencies being cited today. This report shall remain on file for 3 years. Appeal Rights were provided and exit interview conducted. A Notice of Site visit was given and must be posted for 30 days.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021

LIC809 (FAS) - (06/04)

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