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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624789
Report Date: 06/02/2025
Date Signed: 06/02/2025 02:04:41 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
04/10/2025 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20250410152930
FACILITY NAME:GODDARD SCHOOL, THEFACILITY NUMBER:
343624789
ADMINISTRATOR:PU, WILLIAMFACILITY TYPE:
830
ADDRESS:3370 ZINFANDEL DRIVETELEPHONE:
(916) 861-0906
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY:24CENSUS: 15DATE:
06/02/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Katelynn LeeTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Infants are comingled with preschool children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Director Katelynn Lee (Director), for the purpose of conducting an unannounced complaint investigation inspection pertaining to the above allegation. The purpose of today's inspection was explained. During the investigation, LPA conducted interviews, observed care, and obtained and reviewed relevant documentation. LPA reviewed facility attendance documents and did not observe any documented instances of infants and preschool children being commingled. On 04/14/2025 and 06/02/2025, LPA observed care and did not observe infant and preschool children commingled. LPA did observe a toddler option class, which is licensed to provide care to children 18-36 months of age. LPA interviewed children, staff, and parents. Witness statements failed to corroborate the allegation of commingled infant and preschool children.Witness statements, LPA observations, and document reviews failed to corroborate the allegation. Although the allegation may have happened, there is not a preponderance of evidence to prove the allegation; therefore, the allegation is unsubstantiated. Exit interview was conducted and report was reviewed with Facility Representative, Katelynn Lee. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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