073408899-3-25-2021-02-CC-MMEA-BZFS9E-20210325134038

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073408899
Report Date: 03/25/2021
Date Signed: 03/25/2021 01:52:36 PM

Document Has Been Signed on 03/25/2021 01:52 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	GODDARD SCHOOL, THE		FACILITY NUMBER:	073408899
ADMINISTRATOR:	VENKATAGANESH, GEETHA		FACILITY TYPE:	830
ADDRESS:	115 TECHNOLOGY WAY		TELEPHONE:	(925) 390-3313
CITY:	BRENTWOOD	STATE: CA	ZIP CODE:	94513
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	03/25/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Venkatagnesh Muthamrayan and Danyel Cheathon		TIME COMPLETED:	02:00 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	A Prelicensing Visit was conducted today by Licensing Program Managers (LPM) Mayla Mendoza and Loretta Dyson and Licensing Program Analysts (LPA), Melissa Guirit and Melissa Domantay. LPMs and LPAs met with applicants, Venkatagnesh Muthamrayan and Geetha Venkataganesh, and Director Danyel Cheathon. The applicants have submitted an application for an infant license. A health and safety inspection was conducted inside and outside. The center has also applied for a preschool program on-site (license #073408900). The infant program will operate in 2 classrooms, Rooms 134 and 136, Monday to Friday from 7:00am-6:00pm. The measurements are as follows: INDOORS: 938.98 square feet = 26 children OUTDOORS: 9621.84 square feet = 128 children All classrooms are equipped with varied age appropriate materials and equipment. The infant program will serve crib-aged infants in Room 136. There is a separate crib area with 12 cribs for infants. The diaper changing counters are within arms reach of a sink. There are 4 sinks available for children. The owner and director office, as well the staff bathroom will serve as isolation areas for ill children. All yards will be shared between infants, preschoolers and toddlers. The yards are fenced in all around and all climbing structures are cushioned with poured rubber. Infants will utilize all play yards except the climbing structure of the middle play yard which is recommended for ages 2-12 years of age. Infants can utilize the turf area only of the middle play yard. Canopies provide sufficient shade in the play yards. A waiver request was submitted requesting for the shared use of the yards. Director is reminded that no more than 128 children be out on the play yard at any given time. Snacks are provided to older infants; younger infants' families will provide lunches. There is a kitchen available. There is a washer and dryer to launder bedding daily; facility provides sheets. Facility will utilize electronic sign in/out.

SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Mayla Mendoza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

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 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: GODDARD SCHOOL, THE	FACILITY NUMBER: 073408899
	VISIT DATE: 03/25/2021

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
26
27
28
29
30
31
32

This facility plans to provide Incidental Medical Services – IMS. A Plan of Operation that includes IMS has been submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Danyel Cheathon is a fully-qualified infant director and has completed 16 hours of health and safety training including pediatric CPR and First Aid and Lead Poisoning. There is a working telephone on site. The center has obtained an approved fire safety inspection from the ECC Fire Department on 3/18/21.

Mandated reporter, appeal rights, civil penalties, unusual incident reporting, fingerprint requirements, and COVID protocols were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and checking Provider Information Notices (PINs). The director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained. The center is found to be clean, safe, sanitary, and in good repair. A license for 24 infants will be issued effective today 3/25/21

An exit interview was conducted.

SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Mayla Mendoza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2