343620246-6-7-2019-03-CC-BENN-BD5S4W-20190614133326

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343620246
Report Date: 06/07/2019
Date Signed: 06/07/2019 11:41:35 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
03/25/2019 and conducted by Evaluator Kelly Ferrara

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20190325163001

FACILITY NAME:	GODDARD SCHOOL, THE		FACILITY NUMBER:	343620246
ADMINISTRATOR:	COLLINS, AMY		FACILITY TYPE:	830
ADDRESS:	251 OUTCROPPING WAY		TELEPHONE:	(916) 936-0377
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	24	CENSUS: 13	DATE:	06/07/2019
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Amy Collins, Director		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff failed to provide adequate supervision resulting in child being injured multiple times by another child in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kelly Ferrara conducted a follow up complaint inspection at the facility and met with the Director Amy Collins. During today's inspection there were 13 infant children present being supervised by five staff. LPA interviewed the Owner, staff, and the reporting party during the investigation. LPA observed appropriate supervision during each inspection at the facility.
The allegation is regarding multiple biting incidents that occurred in the toddler classroom. Consistent statements were made during interviews with staff that they were aware that there was an issue with one child biting another and they made efforts to keep the children separated and monitor the situation. Based on information obtained from all interviews including the reporting party, it is unclear if the biting incidents occurred due to a lack of supervision.
LPA determined that the allegation was unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it. Exit interview was conducted and Notice of Site was posted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5935
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019

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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