<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343620245
Report Date: 06/19/2024
Date Signed: 06/19/2024 03:02:43 PM

Document Has Been Signed on 06/19/2024 03:02 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:GODDARD SCHOOL, THEFACILITY NUMBER:
343620245
ADMINISTRATOR/
DIRECTOR:
KATHRYN DRAKEFACILITY TYPE:
850
ADDRESS:251 OUTCROPPING WAYTELEPHONE:
(916) 936-0377
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: 132TOTAL ENROLLED CHILDREN: 132CENSUS: 93DATE:
06/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Ruthie AraujoTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Jennifer Velasco met with incoming director Ruthie Araujo (Director) to conduct a case management inspection in response to the facility's report to the Department of a child (Child1) experiencing a seizure while in care. Staff observed a change in Child1's health and followed physician's seizure plan for Child1, contacted emergency medical response personnel and Child1's authorized representatives, who took Child1 for medical assessment and care.

LPA advised Director of the purpose of the inspection, toured the facility, observed care, and conducted interviews. Witness statements and facility reports document staff's timely observation of Child1's change in health, compliance with physician's seizure plan for Child1, and notification to Child1's authorized representatives, emergency medical response personnel, and the Department.

No deficiencies were cited as a result of this inspection. This report was review with facility representative, Director Ruthie Araujo. Exit interview was conducted. Notice of site visit was provided and must remain posted for 30 consecutive days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE: DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2024
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 1