394500354-8-13-2021-53-CC-BENN-C63TL9-20210820144911

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 394500354
Report Date: 08/13/2021
Date Signed: 08/13/2021 10:46:51 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
08/03/2021 and conducted by Evaluator Elvira Sierra

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20210803151914

FACILITY NAME:	CAMPUS II, INC, THE		FACILITY NUMBER:	394500354
ADMINISTRATOR:	MEGHAN GODDARD		FACILITY TYPE:	830
ADDRESS:	6311 PACIFIC AVE		TELEPHONE:	(209) 951-5437
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY:	20	CENSUS: 5	DATE:	08/13/2021
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Meghan Goddard		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Personal Rights-Facility is not taking any precautions for COVID-19.

INVESTIGATION FINDINGS:

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On Friday August 13, 2021 at 10:30 am. Licensing Program Analyst (LPA) Elvira sierra met with Director Meghan Goddard to deliver the findings for the above complaint allegation. Upon arrival there were 3 staff caring for 6 infant children.

Reporting Party (RP) alleged that facility is not taking any precautions for COVID-19. During the investigation, the facility was toured, LPA made observations conducted interviews with RP, staff, parents, San Joaquin County Public Health Nurse and obtained pertaining documentation. Interviews conducted did not provide any corroboration or evidence to support the allegation. LPA learned that facility contacted Health Department and informed daycare parents regarding self-reported incident occurred on 08/02/21. Director stated safety measure was taken to prevent spread of disease following the incident and facility was closed for cleaning and disinfecting. LPA also observed staff using safety measures to prevent spread of communicable disease.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021

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 53-CC-20210803151914

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: CAMPUS II, INC, THE	FACILITY NUMBER: 394500354
	VISIT DATE: 08/13/2021

NARRATIVE

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Based upon evidence obtained and interviews conducted, there is not a preponderance of evidence to prove or disprove that the allegation did or did not occur, therefore the above allegation is found to be UNSUBSTANTIATED.

An exit interview was conducted in which the report and Appeal of rights were provided, This report and Appeals of Rights were discussed and review with the Director. A Notice of Site Visit was provide and should be posted for 30 days.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021

LIC9099 (FAS) - (06/04)

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