343620246-2-5-2020-03-CC-KFEA-BLHS8M-20200205123921

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343620246
Report Date: 02/05/2020
Date Signed: 02/05/2020 12:39:29 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		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: 10	DATE:	02/05/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Kaylee Agaman		TIME COMPLETED:	01:30 PM

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Licensing Program Analysts (LPAs) Kelly Ferrara and Kristal Goodell met with Owner Kaylee Agaman and Director Amy Collins for the purpose of an unannounced random annual inspection. LPAs toured the facility including all activity and classroom spaces, restrooms, and outdoor play areas. Appropriate ratio and care and supervision were observed during today's inspection. Census included ten infant children being supervised by three staff. Owner was reminded never to exceed the conditions, limitations and capacity specified on the license. Facility hours of operation are Monday through Friday from 7 AM- 6 PM.

LPAs observed a current Needs and Services plan for each infant in care. Bottles and baby food were kept in a refrigerator inside the classroom and were properly labeled with the child's name and date. Each crib has a fitted sheet and there were sheets and cots available for the older infants. All furnishings were in good condition. Staff stated that the bedding is changed daily. There is a separate area for cribs and Director and staff understand that one staff person needs to be in the nap area when infants are sleeping. Infant diaper changing area is clean and within arm's reach of a sink. There is a one inch thick mat for the changing table with a vinyl surface. Toys are appropriate size with no small parts for the safety of the infants.

Classrooms all appeared clean including the carpets and floor. Chemicals were kept inaccessible to children on a high shelf. Playground equipment and surfaces were inspected and are in good condition with enough resilient material under climbing structures to absorb a fall. Uncontaminated drinking water was readily available to children both indoors and outdoors. Bathrooms were clean and all sinks and toilets were in operating condition. There are no firearms or bodies of water on the premises and the facility has at least one functioning smoke and carbon monoxide detector. Menus were posted for AM and PM snack and the children bring their own lunches. LPAs observed all required licensing documentation was posted for parental review. LPAs observed that parents are signing their children in and out of the center electronically.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

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	FACILITY NUMBER: 343620246
	VISIT DATE: 02/05/2020

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A sample of children and staff files were reviewed. Each child's file had the required licensing documentation and LPA advised the Director that the Immunization Cards should be updated to the new Public Health form beginning in January 2020. Staff files contained all required documentation, including proof of immunizations and Mandated Reporter training certification. LPA advised that this must be completed every two years. LPA reviewed infant staff transcripts and observed that they were qualified to work with infants. At least one staff had a current Pediatric CPR and First Aid certification that expires in June 2021. LPA observed a current children's roster and fire drill log with the last drill conducted in November 2019.

Incidental Medical Services (IMS) policy was discussed with the Director. LPA observed that there are children enrolled that require IMS services. Each classroom was equipped with First Aid equipment. For additional IMS information, director was advised to see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.

The facility evaluation report was reviewed and discussed with the Director. Director was encouraged to the visit the department's website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers. Director stated that she has been distributing the Effects of Lead Exposure brochure to the parents. LPA discussed with the Director 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 and must be conducted every five years.

A notice of site visit was provided and should remain posted for a period of 30 days for parental review.

There were no citations issued based on today's inspection.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

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	FACILITY NUMBER: 343620246
	VISIT DATE: 02/05/2020

NARRATIVE

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A sample of children and staff files were reviewed. Each child's file had the required licensing documentation and LPAs advised the Owner that the Immunization Cards should be updated to the new Public Health form (CDPH286) for newly enrolled children . Staff files contained all required documentation, including proof of immunizations and Mandated Reporter training certification. LPAs advised that this must be completed every two years. LPAs reviewed transcripts and the teachers were qualified. At least one staff had a current Pediatric CPR and First Aid certification that expires in July 2020. LPAs observed a current children's roster and fire drill log with the last drill conducted in January 2020.

Incidental Medical Services (IMS) policy was discussed with the Owner. LPAs observed that there are children enrolled that require IMS services and observed medication. Each classroom was equipped with First Aid equipment. For additional IMS information, director was advised to see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.

The facility evaluation report was reviewed and discussed with the Owner. Owner was encouraged to the visit the department's website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers. LPAs provided a copy of the Effects of Lead Exposure brochure. LPA discussed with the Owner Assembly Bill 2370, which will require licensed Child Care Facilities to test their water for excessive amounts of lead. Testing will be required from January 1, 2020 to January 1st, 2023 and must be conducted every five years from the initial testing.

A notice of site visit was provided and should remain posted for a period of 30 days for parental review.

There were no citations issued based on today's inspection.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

LIC809 (FAS) - (06/04)

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