313621361-9-20-2023-03-CC-KPES-CW2MME-20230926094349

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313621361
Report Date: 09/20/2023
Date Signed: 09/20/2023 12:36:52 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/30/2023 and conducted by Evaluator Jeremey McClain

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20230830104011

FACILITY NAME:	GODDARD SCHOOL, THE (PS)		FACILITY NUMBER:	313621361
ADMINISTRATOR:	SHARMILI NAIK		FACILITY TYPE:	850
ADDRESS:	2021 WILDCAT BLVD		TELEPHONE:	(916) 778-6620
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95765
CAPACITY:	132	CENSUS: 100	DATE:	09/20/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Ash and Millie Naik		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Day care child sustained injury due to staff neglect

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jeremey McClain met with Licensees Ash and Millie Naik for the purpose of delivering findings for a complaint investigation. LPA observed care and supervision of 100 children by 13 staff. It was alleged that a child in care was injured due to neglect by staff. Allegations were based on an injury that occurred in April of 2023 where a child was bitten by another child in care. During the investigation, LPA conducted interviews with staff and reviewed children’s records, and an incident report. There was no evidence to suggest that the injury that occurred was due to neglect or lack of supervision by staff. The preponderance of evidence standard has not been met; therefore, the allegation is determined to be unsubstantiated.

There were no Title 22 deficiencies as a result of the investigation. LPA reviewed this report with Licensees Ash and Millie Naik. A Notice of Site Visit was provided that must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

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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