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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371676
Report Date: 05/20/2024
Date Signed: 05/20/2024 12:21:16 PM

Document Has Been Signed on 05/20/2024 12:21 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:GODDARD SCHOOL, THEFACILITY NUMBER:
304371676
ADMINISTRATOR/
DIRECTOR:		PATEL, P. & MEHTA, P.FACILITY TYPE:
860
ADDRESS:1629 VICTORY ROADTELEPHONE:
(714) 439-9450
CITY:TUSTINSTATE: CAZIP CODE:
92782
CAPACITY: 231TOTAL ENROLLED CHILDREN: 231CENSUS: 0DATE:
05/20/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Preeti Patel, Applicant/ManagerTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analyst(LPA) P Rivas conducted an office meeting with Ms. Patel, designated applicant/LLC Manager for the purpose of reviewing corrections submitted for the Notice of Incomplete Application.
LPA was provided with some corrections but found corrections under Parent Handbook were incomplete.
LPA was also provided with a new lic 200a which indicated a reduction in capacity from 231 to 228 with infants going down to 60 and pre school going up to 168.
LPA advised a new fire clearance request will be completed. The pre licensing visit is still scheduled for May 31, 2024 at 9:00am.

An Exit interview was conducted with Ms. Patel
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2024
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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