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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313624708
Report Date: 02/17/2023
Date Signed: 02/17/2023 12:29:20 PM

Document Has Been Signed on 02/17/2023 12:29 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:GODDARD SCHOOL, THEFACILITY NUMBER:
313624708
ADMINISTRATOR:NAIK, SHARMILIFACILITY TYPE:
830
ADDRESS:2081 OAK DRIVETELEPHONE:
(916) 945-2203
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 0DATE:
02/17/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Ashish Naik - ApplicantTIME COMPLETED:
12:30 PM
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Licensing Program Analyst Owens and Licensing Program Manager Peters met with Applicant Ashish Naik for the purpose of an announced pre-licensing inspection. Present during this inspection are Dipha Desai, Co-owner, Robyn Fratessa, Education Advisor and Samantha Holiga, Assistant Director. Applicant is requesting an infant license to serve 36 infant children from 6 weeks to 24 months. Total capacity requesting is 36 infant children. The program will operate Monday through Friday from 7:00 AM to 6:00 PM. The fire clearance was granted on 1/26/2023.

LPA Owens reviewed with applicant the LIC 311-A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, menus, and daily schedule.

Applicant stated the Needs and Services plans will be kept in the classrooms. The facility will provide AM/PM snacks. Parents will provide formula, breast milk, and baby food for their children.

INDOOR ACTIVITY SPACE:
There are three infant classroom. The classrooms are equipped with sufficient infant size furnishing, cubbies and a variety of age-appropriate toys that appear to be in good repair. LPA Owens and LPM Peters observed 12 cribs in the napping area. Applicant acknowledges there will be a maximum of 12 infants under 12 months old, due to available cribs. The napping area is physically separated from the activity space. LPA and LPM observed the classrooms to be clean, safe, sanitary and in good repair. LPA and LPM observed containers used for storage of solid wastes, including moveable bins, to have a tight-fitting cover that is kept on and in good repair. (Report continued on subsequent LIC 809)
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE: DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/17/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: GODDARD SCHOOL, THE
FACILITY NUMBER: 313624708
VISIT DATE: 02/17/2023
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There is a first aid kit located in the each classroom. Medication will be stored in directors office and inaccessible to children in care. LPA and LPM observed cleaning disinfectants appropriately stored and inaccessible to children. Applicant stated there are no firearms or weapon on the premises. Applicant stated indoor and outdoor drinking water will be provided to children by water bottles and cups and pitchers. LPA and LPM observed carbon monoxide detectors throughout the facility. LPA and LPM observed the electronic sign out system.

LPA and LPM measured the classrooms. The total classroom space contains a total of 1370.1 square feet, which will accommodate applicant's requested capacity for 36 infant children. There are a total of nine sinks available in the classrooms. LPA and LPM did not observed potty chairs in the classrooms. The applicant was reminded that there shall be one potty chair to every five infants being toilet trained. LPA and LPM observed one changing table with a changing pad that is at least one inch think with raised sides that is at least three inches tall and within arm’s reach of a sink in each of the classrooms. Children who become ill during the day will be isolated in the directors office area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is an outdoor activity space for infant children. The outdoor play area contains a total of 1376.9 square feet, which will accommodate 23 infants. Applicant submitted a waiver to share the infant playground with the toddler option children with a rotating schedule. The applicant was reminded to use age-appropriate equipment and toys. The outdoor play area is surrounded by a iron rod fence that is at least four feet tall. Climbing structure was observed. Applicant was reminded to inform the department prior to construction or alteration. The outdoor space is shaded by canopy and overhangs.

LPA discussed the following: 100% supervision is required at all times; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

(Report continued on subsequent LIC 809)

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: GODDARD SCHOOL, THE
FACILITY NUMBER: 313624708
VISIT DATE: 02/17/2023
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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. 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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicant was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

AS provided and discussed Health and Safety Code 1596.956 regarding the toddler option with Applicant.

(Report continued on subsequent LIC 809)

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: GODDARD SCHOOL, THE
FACILITY NUMBER: 313624708
VISIT DATE: 02/17/2023
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The multi-purpose room is approved for use with no commingling .

The facility application was reviewed and approved by Licensing Program Manager Kevin Peters at this inspection. Effective today, 2/17/2023, LPM grants an infant license childcare license to serve 36 infant children from 6 weeks to 24 months.

Exit interview conducted and report was reviewed with the Applicant, Ashish Naik.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4