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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073405377
Report Date: 05/15/2025
Date Signed: 05/15/2025 03:02:39 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/21/2025 and conducted by Evaluator Kayla Merchant
COMPLAINT CONTROL NUMBER: 02-CC-20250221101518
FACILITY NAME:GOODRICH, SHELLY AFACILITY NUMBER:
073405377
ADMINISTRATOR:GOODRICH, SHELLY AFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 672-4027
CITY:CLAYTONSTATE: CAZIP CODE:
94517
CAPACITY:14CENSUS: 12DATE:
05/15/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Shelly GoodrichTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Home is unsafe for children in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/15/2025 at 12:30 PM Licensing Program Analysts (LPAs) Kayla Merchant and Cherie Acosta conducted an unannounced Complaint Investigation and met with licensee Shelly Goodrich and explained the purpose of today’s inspection. Present today is licensee, licensee's assistant and 12 children (1 infant and 11 preschoolers). The finding for the above allegation was delivered during the inspection.
During course of investigation LPAs conducted facility inspection, observations, record review, interviews and obtained documents. It was determined that the information provided during IB investigation conflicts with evidence received, and licensee stated that firearms were in the home but only on the weekend and never when children were in care.
Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No Deficiency has been cited for this allegation.
Exit interview conducted with licensee Shelly Goodrich.
A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kayla Merchant
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
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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