343615197-8-17-2020-03-CC-BENN-BSNVSF-20200820164128

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343615197
Report Date: 08/14/2020
Date Signed: 08/17/2020 03:27:03 PM

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
06/25/2020 and conducted by Evaluator Jan Hoshida

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20200625144846

FACILITY NAME:	GODDARD SCHOOL, THE		FACILITY NUMBER:	343615197
ADMINISTRATOR:	JARWIN, JENNIFER		FACILITY TYPE:	830
ADDRESS:	10710 BEAR HOLLOW DRIVE		TELEPHONE:	(916) 861-0906
CITY:	RANCHO CORDOVA	STATE: CA	ZIP CODE:	95670
CAPACITY:	24	CENSUS: 21	DATE:	08/14/2020
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Jennifer Jarwin		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility air conditioner is in disrepair leading to uncomfortable room temperature.

INVESTIGATION FINDINGS:

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Due to COVID-19 pandemic, Licensing Program Analyst (LPA), Jan Hoshida, conducted an unannounced complaint investigation tele-inspection via FaceTime on 8/14/20 with Director, Jennifer Jarwin, regarding the above allegation. The findings for the complaint investigation were delivered during the tele-inspection. Census included 21 day care children with 6 staff. During the investigation, LPA conducted a health and safety inspection and observed classrooms and hallway areas, interviewed parents and staff and obtained pertinent documentation and photographs.

The complaint alleged that the facility air conditioner is in disrepair leading to uncomfortable room temperature.

REPORT CONTINUED ON NEXT PAGE

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2020

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

LIC9099 (FAS) - (06/04)

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Control Number 03-CC-20200625144846

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	FACILITY NUMBER: 343615197
	VISIT DATE: 08/14/2020

NARRATIVE

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LPA learned through observations and interviews that there were fans set up in the hallways, a portable AC unit was in the infant room, and the thermostats were not go over 78 degrees Fahrenheit. Through interviews and documentation, LPA learned that the facility had four different repair appointments within a 4-week time span to fix the air conditioning. The facility has confirmed that the air conditioning has been fixed as of 7/20/20.

Based on the investigation conducted, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. As a result, the allegation is UNSUBSTANTIATED.

No deficiencies were cited. Exit interview conducted and a Notice of Site Visit will be emailed to the Director to be posted for 30 days. Appeal Rights also issued and discussed. Complaint investigation report will be emailed to Director and an email verification of receipt of report will be used in lieu of a signature on this report.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2020

LIC9099 (FAS) - (06/04)

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