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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624788
Report Date: 04/08/2025
Date Signed: 04/08/2025 04:04:12 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/11/2025 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250311115137
FACILITY NAME:GODDARD SCHOOL, THEFACILITY NUMBER:
343624788
ADMINISTRATOR:PU, WILLIAMFACILITY TYPE:
850
ADDRESS:3370 ZINFANDEL DRIVETELEPHONE:
(916) 861-0906
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY:144CENSUS: 123DATE:
04/08/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Katelynn LeeTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff are commingling the daycare children
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with Director, Katelynn Lee, to deliver findings. Throughout the course of the investigation, LPA toured the facility, observed staff provide care to children, reviewed documentation, and conducted interviews. Interviews and documentation revealed that there were children over the age of 36 months in a Toddler component classroom. The center did not request extension from the department, and did not obtain documentation necessary to extend the period for participation in the toddler component license. LPA interviews and documentation corroborated the allegation that Staff are commingling the daycare children. The preponderance of evidence standard has been met, and the allegation is SUBSTANTIATED.

A Tittle 22 deficiency is issued on the attached LIC9099-D page. Exit interview was conducted with Director, appeal rights were provided, and A notice of site visit was given to Director, who will post it where visible to parents/guardians for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025
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 2
Control Number 03-CC-20250311115137
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: GODDARD SCHOOL, THE
FACILITY NUMBER: 343624788
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
04/15/2025
Section Cited
CCR
101161(a)
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101161 Limitations on Capacity (a)A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met, as evidenced by:
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Director stated they are working on rectifying the deficiency, and will submit documentation necessary to extend the period for participation in their toddler component license. Director will submit documentation to LPA by 4PM POC due date.
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Director did not comply with the section cited above as interviews, and documentation revealed that there were children still enrolled over the age of 36 months in a Toddler component classroom. The center did not request extension from the department, and did not obtain documentation necessary to extend the period for participation in the toddler component license, which poses a potential Health, Safety, or Personal Rights risk to persons in care.
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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: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2