<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313621362
Report Date: 08/04/2021
Date Signed: 08/04/2021 10:33:32 AM



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
06/21/2021 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210621100056
FACILITY NAME:GODDARD SCHOOL, THE (INF)FACILITY NUMBER:
313621362
ADMINISTRATOR:APRIL WARRENFACILITY TYPE:
830
ADDRESS:2021 WILDCAT BLVDTELEPHONE:
(916) 778-6620
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY:24CENSUS: 4DATE:
08/04/2021
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Ashish and Sharmili NaikTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is operating over ratio
Unqualified staff are supervising children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 4th, 2021 Licensing Program Analyst (LPA) Jeremey McClain met with Licensees Ashish and Sharmilli Naik for the purpose of closing a complaint investigation. At approximately 8:50 am, LPA observed four infants supervised by one teacher. It was alleged that the facility was operating over ratio and also had unqualified staff supervising in the infant room. During the investigation, LPA conducted interviews with staff and parents, made observations at the facility, and reviewed staff files. The evidence gathered was not sufficient to dismiss or corroborate the allegations. The preponderance of evidence standard has not been met, therefore, the allegations are determined to be unsubstantiated.

There were no Title 22 deficiencies related to these allegations. LPA reviewed this report with the Licensees and provided a Notice of Site Visit that must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021
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
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
06/21/2021 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210621100056

FACILITY NAME:GODDARD SCHOOL, THE (INF)FACILITY NUMBER:
313621362
ADMINISTRATOR:APRIL WARRENFACILITY TYPE:
830
ADDRESS:2021 WILDCAT BLVDTELEPHONE:
(916) 778-6620
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY:24CENSUS: 4DATE:
08/04/2021
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Ashish and Sharmili NaikTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is operating without a Director
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 4th, 2021 Licensing Program Analyst (LPA) Jeremey McClain met with Licensees Ashish and Sharmili Naik for the purpose of closing a complaint investigation. At approximately 8:45 am, LPA observed four infants supervised by one teacher. It was alleged that the facility operated without a director and did not report the director change to licensing. During the investigation, LPA conducted interviews with staff and parents, made observations at the facility, and reviewed staff files. The evidence gathered was sufficient to confirm the allegation. The preponderance of evidence standard has been met, therefore, the allegation is determined to be substantiated.

Title 22 deficiencies are cited on the subsequent page of this report. If not corrected, the deficiency is considered a potential risk to the health and safety of children in care. Appeal Rights were provided, and an exit interview was conducted. A Notice of Site Visit was posted and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20210621100056
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: GODDARD SCHOOL, THE (INF)
FACILITY NUMBER: 313621362
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/04/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/04/2021
Section Cited
CCR
101212(b)
1
2
3
4
5
6
7
The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s). This requirement was not met as evidenced through interviews with Licensee’s Ashish and Sharmili Naik.
1
2
3
4
5
6
7
The licensees are aware that director changes must be reported to the department within 10 days of the change. Licensees have submitted director qualifications to the department for the current director. The licensee will also become director qualified and submit the qualifications to the department,
8
9
10
11
12
13
14
A director change occurred on April 16th, 2021 and it was not reported to licensing. This poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
in order to serve as an immediate back up in the case of a change of directorship.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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 PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3