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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407398
Report Date: 06/18/2024
Date Signed: 06/18/2024 05:35:53 PM

Document Has Been Signed on 06/18/2024 05:35 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:GODDARD SCHOOL, THEFACILITY NUMBER:
073407398
ADMINISTRATOR/
DIRECTOR:
INGRID ESCALANTEFACILITY TYPE:
850
ADDRESS:100 GATEKEEPER RDTELEPHONE:
(925) 560-9694
CITY:SAN RAMONSTATE: CAZIP CODE:
94582
CAPACITY: 108TOTAL ENROLLED CHILDREN: 83CENSUS: 54DATE:
06/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:50 PM
MET WITH:Ingrid EscalanteTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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On 6/18/2024 Licensing Program Analyst (LPA) Morgan Pringle met with facility Director Ingrid Escalante for an Unannounced Case Management Visit for an unusual incident that was self-reported to the Department on 6/5/2024. Present during LPAs visit were 7 children and 5 additional staff members.

On 6/4/2024 around pick up time at the end of the day P1 observed S1 pull C1’s arm and state, “I told you not to do that,” speaking in a stern voice. S1 stated they had asked C1 to stop doing something multiple times and C1 had not stopped. There were no visible makings on C1. P1 informed the Director of their observations and stated that C1 looked “scared.”

Director spoke with P1, and immediate administrative action was taken by the facility. A staff meeting was held on 6/6/2024 to discuss the facility guidelines for, “promoting positive interactions with the student and creating positive learning environments.” P1 was allowed back to the facility on a probation and extra steps are being taken to support all involved. LPA spoke with Director and was informed of the plan moving forward.

No deficiencies are being cited.

Notice of site visit was given and must remain posted for the next 30 days. Exit interview was conducted and report reviewed with Director Ingrid Escalante.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
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.

LIC809 (FAS) - (06/04)
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