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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364845953
Report Date: 09/22/2023
Date Signed: 09/22/2023 01:21:16 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/31/2023 and conducted by Evaluator Rachel Zeron
COMPLAINT CONTROL NUMBER: 09-CC-20230831115702
FACILITY NAME:GODDARD SCHOOL, THEFACILITY NUMBER:
364845953
ADMINISTRATOR:NATASHA ABUATAFACILITY TYPE:
850
ADDRESS:16258 POMONA RINCON RDTELEPHONE:
(909) 308-5800
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:132CENSUS: 82DATE:
09/22/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Natasha AbuataTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Facility staff not providing adequate supervision to child in care.
INVESTIGATION FINDINGS:
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 Licensing Program Analyst (LPA) Rachel Zeron made an unannounced visit to the facility continue the investigation and delivered findings for a complaint that was filed on 08/31/2023. LPA met with Natasha Abuata, Director and Leiann Hernandez, Assistant Director. The following was alleged: Facility staff not providing adequate supervision to child in care. LPA reviewed records/documents, interviewed pertinent individuals and made direct observations. On this visit, Additional interviews were conducted and a tour of the facility was conducted.

On 09/05/2023 and 09/22/2023, LPA made a subsequent unannounced visits to the facility to conduct interviews and observe teacher/child supervision. Interviews revealed that Child #1(C1) has been diagnosis with an intellectual disability and has some difficulty expressing themselves through words. On or about 08/31/2023, C1 had opened the door (Neptune) that leads out to the back playground and ran to a nearby classroom (Saturn). According to staff interviews, Different staff had a visual through windows leading out to the playground as the child ran by.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
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 09-CC-20230831115702
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GODDARD SCHOOL, THE
FACILITY NUMBER: 364845953
VISIT DATE: 09/22/2023
NARRATIVE
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Also, Staff 1(S1), that was supervising the child (Neptune) had opened the door and was watching where the child was until staff lost view. Staff 2 (S2) indicated that they were outside with C1 when the child had left the classroom (Neptune). When the child arrived at Saturn, the child was then returned by staff to the child's classroom (Neptune). The decision was made to move C1 back to the child's original classroom, (Uranus), where the child was familiar. LPA observed C1 to be content and following directions.

Therefore, due to conflicting information found throughout this investigation this agency has investigated the complaint alleging: Facility staff not providing adequate supervision to child in care. Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A NOTICE OF SITE VISIT WAS GIVEN. DIRECTOR WAS INSTRUCTED TO POSTED IT IN A PROMINENT LOCATION AT THE FACILITY. THE DIRECTOR UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.
An exit interview was conducted, A copy of this report were given to the Director, Natasha Abuata during this visit.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2