313624657-4-28-2025-03-CC-MLOR-DGGQAR-20250508120019

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313624657
Report Date: 04/28/2025
Date Signed: 04/28/2025 07:57:30 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
03/04/2025 and conducted by Evaluator Gagandeep Singh

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20250304120525

FACILITY NAME:	GODDARD SCHOOL, THE		FACILITY NUMBER:	313624657
ADMINISTRATOR:	HOLIGA, SAMANTHA		FACILITY TYPE:	850
ADDRESS:	2081 OAK MEADOW DRIVE		TELEPHONE:	(916) 945-2203
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	144	CENSUS: 61	DATE:	04/28/2025
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Samantha Holiga		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee does not ensure that day care child's toileting needs are being met while in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Gagandeep Singh met with the facility representative, Samantha Holiga, to deliver the findings of the complaint investigation for the above allegation.

During the investigation, LPA inspected the facility, Interviewed the reporting party, interviewed the facility staff, random parents and reviewed the facility records. Based on the information, no evidence to support the allegation of child’s toilet needs were not met was found. 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, therefore the allegation is unsubstantiated.

Copy of this report was reviewed and provided to the facility representative. Notice of site visit is posted and shall remain posted for next 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 1