073407400-3-18-2025-52-CC-MPRE-DEW2HN-20250318172501

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073407400
Report Date: 03/18/2025
Date Signed: 03/18/2025 05:25:20 PM

Document Has Been Signed on 03/18/2025 05:25 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	GODDARD SCHOOL, THE		FACILITY NUMBER:	073407400
ADMINISTRATOR/ DIRECTOR:	INGRID ESCALANTE		FACILITY TYPE:	830
ADDRESS:	100 GATEKEEPER RD		TELEPHONE:	(925) 560-9694
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94582
CAPACITY: 53	TOTAL ENROLLED CHILDREN: 31	CENSUS: 18	DATE:	03/18/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:20 AM
MET WITH:	Ingrid Escalante		TIME VISIT/ INSPECTION COMPLETED:	05:22 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 3/18/2025 at 9:20am Licensing Program Analyst (LPA) Morgan Pringle met with Director Ingrid Escalante for an unannounced annual/random inspection. This facility holds a toddler component. There were eighteen (18) infant/toddler age children, seven (7) infants, eleven (11) toddlers, and nine (9) additional staff present during the inspection. Four classrooms (Puffins (infant), Humming Birds (infant), Sparrows (toddlers), and Parrots (toddlers)) were toured for a health and safety inspection. The facility operates from 7:00am – 6:00pm, Monday – Friday. The facility also holds a license for preschool, #073407398 and school age, #075700605. LPA observed all classrooms to have ample age-appropriate materials for the children’s learning and play that were clean, properly stored and in proper working order. All toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas. LPA observed all changing tables to be properly padded, clean, and free from defects. All diapering materials were properly stored as well. All cribs in the nap room were observed to be free from defects, clean and properly stored. All napping materials were observed to be well maintained, properly stored and labeled. The facility provides sleeping mats in the Humming Birds, Sparrows and Parrots classroom. All bedding is brought from the children’s home. The facility launders bedding in the Puffins classroom and all bedding in the other three rooms are sent home once a week to be cleaned. Facility uses low feeding chairs in the Puffins room for meal times. There are multiple properly working smoke detectors, carbon monoxide detectors, fire extinguishers, and first aid kits on site. The facility does not transport children. Page 1 of 4

Jason Jang	TELEPHONE: (510) 725-7009
Morgan Pringle	TELEPHONE: (510) 622-2602
	DATE: 03/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 6

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: 03/18/2025

NARRATIVE

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LPA observed the kitchen to be clean, well maintained, free from defects and all hazards have been made inaccessible to the children in care. All children bring their own lunch from home and all morning and afternoon snacks are provided by the facility. All food and formula that is brought from the children’s home was observed to be properly labeled and stored. All bottles were observed to be properly labeled and stored. All food prep areas in the kitchen and classrooms were observed to be clean and well maintained. All children bring their own water bottles and have access to clean drinking water in and outside of the classrooms.

The outside play yard is fully fenced with ample age-appropriate materials for the children. The play structure was observed to be well maintained with ample cushion for children’s safety. There is ample shade for the children. LPA did not observe any bodies of water in or around the facility.

The facility is operating within its licensed capacity and is in ratio. All staff working have obtained a criminal record clearance or transfer. The fire/disaster drill log is complete with the last drill logged on 1/23/2025. A physical census of the children was taken and cross referenced with the sign-in and out log. Through record review it was found that five (5) children were not properly signed in by their parent or authorized representative. All required postings, including the menu are posted in the left hallway of the facility. LPA obtained a sample of the children’s files, staff files, and the facility files. All files were complete.

Deficiencies cited during LPAs inspection

Five (5) children were not properly signed in

Director was reminded that California law requires facilities to report unusual incidents and/or injuries to children in care, to the child's parents, and to the Department within 24 hours by phone. Within seven (7) days from the incident, facilities must submit the Unusual Incident/Injury form (LIC 624) to the Department. Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Mandated Reporter Training ("Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting https://mandatedreporterca.com/. Personnel and facility roster must be properly maintained, and fire/disaster drills must be conducted at least every six (6) months and documented. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov.
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SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025

LIC809 (FAS) - (06/04)

Page: 2 of 6

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: 03/18/2025

NARRATIVE

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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025

LIC809 (FAS) - (06/04)

Page: 3 of 6

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: 03/18/2025

NARRATIVE

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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director Ingrid Escalante.

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SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025

LIC809 (FAS) - (06/04)

Page: 4 of 6

Document Has Been Signed on 03/18/2025 05:25 PM - It Cannot Be Edited

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/18/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

CCR

101229.1(a)(1)

Sign In and Sign Out

(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Five (5) children present were not signed in by their parent or authorized representative. Based on record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/21/2025
	Plan of Correction
1 2 3 4	Director will make sure to obtain the signature from the child's authorized representative and send LPA Pringle a copy of the sign in/out sheet by end of business day Friday, 3/21/2025.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Jason Jang	TELEPHONE: (510) 725-7009
Morgan Pringle	TELEPHONE: (510) 622-2602
	DATE: 03/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025

LIC809 (FAS) - (06/04)

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