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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343620245
Report Date: 08/07/2024
Date Signed: 08/07/2024 11:46:24 AM

Document Has Been Signed on 08/07/2024 11:46 AM - 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: 0DATE:
08/07/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Kaylee AgamanTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Manager (LPM) Natalie Dunaway and Licensing Program Analyst (LPA) Jennifer Velasco met with Licensee Representative Kaylee Agaman for the purpose of an informal office visit.

LPM defined the difference between non-compliance and an informal meeting. LPM advised that the purpose of today's meeting is to help the facility gain compliance. Today's informal meeting was to discuss the type A citation issued 07/10/2024 during a case management inspection to follow up on a self-reported incident. The Type A citation was for an absence of supervision. This is a repeat violation of the same requirement within 12 months. On 12/05/2023, during a complaint investigation, a Type A citation was cited for an absence of supervision, which was also self-reported.

The Licensee Representative stated that they have taken the following steps to maintain compliance: the facility has a zero-tolerance policy regarding absence of supervision, an all-staff training regarding supervision requirements has been conducted with all staff, multiple staff trainings regarding supervision requirements, the facility will continue to recruit and hire additional staff, and new staff will be given extra training on supervision requirements during onboarding.

LPM and LPA provided information regarding the Technical Support Program (TSP), which is a non-enforcement arm of the Community Care Licensing Division offering onsite support to licensees and providers. Licensee Representative stated they will follow up with request to LPA for TSP services. LPA discussed using the Department website (ccld.ca.gov) for child care updates, current forms, legislation and regulation information. LPM suggested that Licensee can view information videos at www.ccld.childcarevideos.org.

This report was reviewed with the Licensee Representative.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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