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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371676
Report Date: 11/20/2025
Date Signed: 11/20/2025 02:22:56 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/16/2025 and conducted by Evaluator Karen Navar
COMPLAINT CONTROL NUMBER: 06-CC-20250916164056
FACILITY NAME:GODDARD SCHOOL, THEFACILITY NUMBER:
304371676
ADMINISTRATOR:PATEL, P. & MEHTA, P.FACILITY TYPE:
860
ADDRESS:1629 VICTORY ROADTELEPHONE:
(714) 439-9450
CITY:TUSTINSTATE: CAZIP CODE:
92782
CAPACITY:228CENSUS: 73DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
01:09 PM
MET WITH:Director-Chelsea RoeTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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On 11/20/2025, Licensing Program Analyst (LPA), K. Navar conducted an unannounced complaint inspection for the purpose of delivering findings. This is a continuation of a complaint inspection initiated on 09/23/2025. Upon arrival LPA met with Director Chelsea Roe and was led on a tour of the facility both inside and outside. During inspection LPA took census and observed a total of 33 infants, 13 infant staff, 33 preschool children along with 7 preschool staff.

A review of the Facility Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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 4
Control Number 06-CC-20250916164056
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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, THE
FACILITY NUMBER: 304371676
VISIT DATE: 11/20/2025
NARRATIVE
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On 09/16/2025, the Orange County Child Care Office received a complaint alleging: Facility is operating out of ratio. Reporting Party (RP) stated the facility has been out of ratio multiple times in the infant program. A teacher was left alone supervising 5 infants.

During the investigation, LPA toured the facility on 09/23/2025, 10/13/2025, and 11/03/2025, conducted 13 staff interviews, was not able to interview infants due to limited vocabulary, obtained documents; Personnel Report LIC500, Children’s Roster, Staff Handbook, sign in and Out Sheets for staff/infants the week of September 15, 2025, and conducted 14 staff interviews (S1-S13).

On 09/23/2025, 10/13/2025, and 11/03/2025, LPA toured the facility and took census. During the inspection it was determined the facility is operating within its licensed capacity and within compliance with staffing ratios. LPA conducted 13 (thirteen) staff interviews. 2 (two) out of 13 (thirteen) staff interviewed stated that they have been out of ratio before in the mornings due to staff calling out.

During LPA records review of staff clock in/ out sheets and sign in/out sheets for infants. LPA observed (two) out of 5 (five) classrooms to be out of ratio on 09/15/2025. Cozy Cocoon #1 had 1 (one) staff (S12) to 5 (infants) signed in between the hours of 7:30AM-8:26AM with second staff (S16) clocked in at 8:30AM, Cozy Cocoon #2 had 1 (one) staff (S14) to 6 (six) infants signed in between the hours 7:37AM-8:07AM and second staff (S16) clocked in at 8:15AM.

During parent interviews. LPA called 3 (three) parents, and LPA was not able to interview 3 (three) parents.

Based on LPAs staff interviews and record review, the preponderance of evidence has been met; therefore, the allegation of Facility is operating out of ratio, is substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101416.5 Staff-Infant Ratio. See LIC9099D for deficiency cited.




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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20250916164056
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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, THE
FACILITY NUMBER: 304371676
VISIT DATE: 11/20/2025
NARRATIVE
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1 Type A violation is being cited. The director shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the director shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The director is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00

Exit interview conducted and report was reviewed with Director Chelsea Roe. The Director was informed that the “Notice of Site Visit” must be posted on or adjacent to the door for 30 days. Failure to post will result in a Civil Penalty of a $100.00.

End of Report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20250916164056
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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, THE
FACILITY NUMBER: 304371676
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/25/2025
Section Cited
CCR
101416.5(b)
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101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance.

This requirement was not met as evidence based on LPAs’ records review and staff interviews...
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The director will meet with the infant staff regarding the importance of ratio and send LPA meeing notes/agenda/singantures of staff.
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 2 (two) of 13 (thirteen) staff interviewed stated that they have been out of ratio. LPA’s records review for staff clock in/out sheets and sign in/out sheets for infants found 2 (two) out of 5 (five) classrooms to be out of ratio on 09/15/2025.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4