313621362-10-17-2019-03-CC-JMCN-BH2SJT-20191017135539

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313621362
Report Date: 10/17/2019
Date Signed: 10/17/2019 01:55:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	GODDARD SCHOOL, THE (INF)		FACILITY NUMBER:	313621362
ADMINISTRATOR:	APRIL WARREN		FACILITY TYPE:	830
ADDRESS:	2021 WILDCAT BLVD		TELEPHONE:	(916) 778-6620
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95765
CAPACITY:	24	CENSUS: 29	DATE:	10/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Mili Naik		TIME COMPLETED:	02:00 PM

NARRATIVE

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Licensing Program Analyst (LPA) Jeremey McClain met with Owner Director Mili Naik for the purpose of an unannounced annual random inspection. LPA observed 16 infants supervised by five staff members ub two separate rooms. 29 toddlers were supervised by 6 staff members in three separate rooms. Facility hours of operation are Monday through Friday from 7:00 AM to 6:00 PM.

LPA toured the building including all activity and classroom spaces, restrooms, food service, and outdoor play areas. Medications are stored in an area that is inaccessible to children in care. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. Infant changing tables have a padded surface that is washable and at least one-inch-thick, and the changing tables have raised sides that are at least three inches high. The floors appeared clean throughout the facility. The food preparation space is free of litter and all food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Infant feeding bottles were labeled with their names and dates. Program a morning and afternoon snack, and children bring their own lunches. Menus were posted and drinking water was readily available to children both indoors and outdoors. The facility utilizes and electronic sign-in/sign-out sheet.

Staff and children's records were reviewed. Each child's file contained an emergency card, a medical assessment, and Infant Needs and Services Plan. At least one staff member present today has current Pediatric CPR and First Aid certification (exp. 7/2021). LPA observed functional smoke and carbon monoxide detectors.

LPA reminded the Assistant Director that the AB1207 Mandated Reporter Training must be renewed once every two years. LPA provided the website for staff to complete the training at http://childcare.mandatedreporterca.com/

REPORT CONTINUED ON THE FOLLOWING PAGE OF THIS REPORT

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: GODDARD SCHOOL, THE (INF)	FACILITY NUMBER: 313621362
	VISIT DATE: 10/17/2019

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Incidental Medical Services (IMS) policy was discussed. The facility is currently providing IMS and has a plan of operation in place. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department.

The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA reminded the Director that the Mandated Reporter Training must be completed by all staff once every two years, and that the training can be found at: http://childcare.mandatedreporterca.com/

LPA informed the Director about Assembly Bill 2370, which will require licensed Child Care Facilities to test their water for excessive amounts of lead. Testing will be required beginning January 1, 2020.

LPA encouraged the Director was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. LPA also encouraged the Director to sign up for the Child Care Advocates quarterly newsletter.

This facility evaluation report was reviewed and discussed with the Director. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. Deficiencies were observed in the areas that were evaluated and are noted on the following page of this report.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: GODDARD SCHOOL, THE (INF)	FACILITY NUMBER: 313621362
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/17/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/08/2019 Section Cited	1 2 3 4 5 6 7	Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles.... This requirement was not met as
	8 9 10 11 12 13 14	evidenced during LPA's review of Staff Files. LPA observed that Staff 1 and Staff 2 did not have evidence of their measles or pertussis. This is considered a potential risk to the health and safety of children in care if not corrected.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019

LIC809 (FAS) - (06/04)

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