343620245-3-3-2023-03-CC-NDUY-CPWQSH-20230314122532

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343620245
Report Date: 03/03/2023
Date Signed: 03/03/2023 01:44:58 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
02/02/2023 and conducted by Evaluator Jennifer Velasco

COMPLAINT CONTROL NUMBER: 03-CC-20230202154413

FACILITY NAME:	GODDARD SCHOOL, THE		FACILITY NUMBER:	343620245
ADMINISTRATOR:	KATHRYN DRAKE		FACILITY TYPE:	850
ADDRESS:	251 OUTCROPPING WAY		TELEPHONE:	(916) 936-0377
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	132	CENSUS: 76	DATE:	03/03/2023
		UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Kathryn Drake, Heather Hatfield		TIME COMPLETED:	01:55 PM

ALLEGATION(S):

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Facility staff are out of ratio

INVESTIGATION FINDINGS:

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Licensing Program Analyst Jennifer Velasco (LPA) conducted a follow-up complaint investigation inspection and met with Facility Representatives, Director Kathryn "Kat" Drake (D1), and Director Heather Hatfield (D2).

LPA toured the facility, including all activity and classroom spaces, restrooms, food service and outdoor play areas. Census included 76 preschool children being supervised by 21 classroom staff. D1 was reminded never to exceed the conditions, limitations, and capacity specified on the license. Facility hours of operation are Monday through Friday from 7:30 AM to 5:30 PM.

LPA investigated an allegation the facility is not operating within the required ratios, which for the preschool program is one teacher for every 12 preschoolers and for the preschool's toddler option one teacher for every six toddlers.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jennifer Velasco	TELEPHONE: 707-953-7341
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2023

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-20230202154413

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: GODDARD SCHOOL, THE	FACILITY NUMBER: 343620245
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/03/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/06/2023 Section Cited CCR 101216.3	1 2 3 4 5 6 7	Teacher-Child Ratio There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance ... This requirement has not been met as evidenced by:	1 2 3 4 5 6 7	Director (D1) stated she will develop a written plan for ensuring no further incidents of operating out of ratio and will provide that to LPA by POC due date.
	8 9 10 11 12 13 14	Multiple witness statements and LPA review of facility records documenting multiple incidents of the facility operating out of ratio. This constitutes an immediate risk to the health, safety, and/or personal rights of children in care.	8 9 10 11 12 13 14	D1 also stated she will track ratio in the mornings, three times per morning between 7:30 and 9:30 AM, for two weeks, and provide documentation to LPA via email: jennifer.velasco@dss.ca.gov
	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: Natalie Dunaway	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jennifer Velasco	TELEPHONE: 707-953-7341
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2023

LIC9099 (FAS) - (06/04)

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Control Number 03-CC-20230202154413

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: GODDARD SCHOOL, THE	FACILITY NUMBER: 343620245
	VISIT DATE: 03/03/2023

NARRATIVE

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During the investigation, LPA engaged in observation, conducted interviews, and obtained and reviewed facility records. Information obtained during observations, interviews, and document reviews corroborated the allegation that the facility failed to operate within ratio requirements on multiple occasions in multiple classrooms. The preponderance of evidence standard has been met; therefore, the allegation is substantiated.

Title 22 Deficiency has been cited on the attached LIC 809-D. LPA notified D1 and D2 that this report documents one Type Type A citation and must be posted where visible to parents/guardians for 30 consecutive days because the deficiency poses an immediate risk to the health, safety, and/or personal rights of children in care. LPA also notified D1 and D2 of the requirement to provide a copy of this licensing report that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

This report and appeal rights were provided and reviewed with the facility representative(s). Notice of Site Visit was provided and must remain posted where visible to parents for 30 days.

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jennifer Velasco	TELEPHONE: 707-953-7341
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2023

LIC9099 (FAS) - (06/04)

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