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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394500355
Report Date: 08/13/2021
Date Signed: 08/13/2021 10:43:08 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/03/2021 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20210803154441
FACILITY NAME:CAMPUS II, INC, THEFACILITY NUMBER:
394500355
ADMINISTRATOR:MEGHAN GODDARDFACILITY TYPE:
850
ADDRESS:6311 PACIFIC AVE.TELEPHONE:
(209) 951-5437
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY:30CENSUS: 10DATE:
08/13/2021
UNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Meghan GoddardTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Personal Rights-Facility is not taking any precautions for COVID-19.
INVESTIGATION FINDINGS:
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On Friday, August 13, 2021 at 09:31 am. Licensing Program Analyst (LPA) Elvira sierra met with Director, Meghan Goddard to deliver the findings for the above complaint allegation. There were 2 staff supervising 10 preschool children.

Reporting Party (RP) alleged that facility is not taking any precautions for COVID-19. During the investigation, the facility was toured, LPA made observations conducted interviews with RP, staff, parents, San Joaquin County Public Health Nurse and obtained pertaining documentation. Interviews conducted did not provide any corroboration or evidence to support the allegation. LPA learned that facility contacted Health Department and informed daycare parents regarding self-reported incident occurred on 08/02/21. Director stated safety measure was taken to prevent spread of disease following the incident and facility was closed for cleaning and disinfecting. LPA also observed staff using safety measures to prevent spread of communicable disease.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
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 53-CC-20210803154441
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: CAMPUS II, INC, THE
FACILITY NUMBER: 394500355
VISIT DATE: 08/13/2021
NARRATIVE
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Based upon evidence obtained and interviews conducted, there is not a preponderance of evidence to prove or disprove that the allegation did or did not occur, therefore the above allegation is found to be UNSUBSTANTIATED.

An exit interview was conducted in which the report and Appeal of rights were provided, This report and Appeals of Rights were discussed and review with the Director. A Notice of Site Visit was provide and should be posted for 30 days.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2