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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334846440
Report Date: 06/18/2024
Date Signed: 06/18/2024 10:23:24 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/22/2024 and conducted by Evaluator Susan Brewer
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240522161657
FACILITY NAME:GODDARD SCHOOL, THEFACILITY NUMBER:
334846440
ADMINISTRATOR:KING,DIANNEFACILITY TYPE:
850
ADDRESS:18177 VAN BUREN BLVDTELEPHONE:
(951) 542-2900
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY:144CENSUS: 31DATE:
06/18/2024
UNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:TIME COMPLETED:
10:35 AM
ALLEGATION(S):
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Conduct Inimical - Staff intoxicated while supervising children
INVESTIGATION FINDINGS:
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On the above date and time, Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility for the purpose of continuing an investigation and to deliver findings on the above allegation. The LPA was greeted by Director Dianne King and granted entry into the facility. LPA took a census of 31 children.

On 05/08/2024 LPA Susan Brewer, initiated the investigation for an allegation of Conduct Inimical, made observations, reviewed records, and conducted pertinent interviews with relevant parties. On today's date, the LPA Susan Brewer continued the investigation, and the following was discussed.

It was alleged that a staff was intoxicated while children were under their care on Wednesday, November 29, 2023.

********Continued on LIC9099C********
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
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 2
Control Number 09-CC-20240522161657
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GODDARD SCHOOL, THE
FACILITY NUMBER: 334846440
VISIT DATE: 06/18/2024
NARRATIVE
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LIC9099C Continued - Unsubstantiated

LPA Susan Brewer, made observations, reviewed facility records and video, and conducted interviews with pertinent parties related to the allegation.

The investigation revealed through pertinent parties interviewed described different accounts of witnessing a subject staff alone in a classroom, perceived to have odd behavior, delayed speech and crouched down on the floor and that a staff appeared to be intoxicated with no evidence to confirm a staff was intoxicated. Other information gathered through pertinent interviews described a staff appeared to be having a medical issue. LPA review of an anonymous video received, did not prove that a subject staff was intoxicated or if the staff was having a medical issue. The LPA was unable to obtain evidence to confirm that a subject staff was intoxicated at the facility while supervising children. Therefore, based on the conflicting information gathered the LPA determined the allegation to be unsubstantiated.

Although the allegation of Conduct Inimical 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.

No citations or civil penalties issued.

Exit interview conducted and report was reviewed with Director Dianne King.

A Notice of Site Visit was given and must remain posted for 30 days.

LPA verified the director posted the Notice of Site Visit prior to exiting the facility.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
LIC9099 (FAS) - (06/04)
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