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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 090306370
Report Date: 06/23/2025
Date Signed: 06/23/2025 02:11:47 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
04/23/2025 and conducted by Evaluator Soleil Marx
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250423164156
FACILITY NAME:CATALYST KIDS - SOUTH LAKE TAHOEFACILITY NUMBER:
090306370
ADMINISTRATOR:KAUR, BALJITFACILITY TYPE:
850
ADDRESS:3441 SPRUCE AVENUETELEPHONE:
(530) 541-5887
CITY:SOUTH LAKE TAHOESTATE: CAZIP CODE:
96150
CAPACITY:23CENSUS: 11DATE:
06/23/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Baljit KaurTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff wrongfully suspended or expelled child from care (AB 2806)
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Soleil Marx met with Director, Baljit Kaur, for the purpose of delivering findings to a complaint investigation alleging that staff wrongfully suspended or expelled child from care (AB 2806). The purpose of today's inspection was explained.
Throughout the course of the investigation, LPA made observations, conducted interviews, and reveiwed records. It was determined that the facility was not abiding by the admission agreement regarding the sub section of handbook titled serious and persistent behavior procedures as set by Title 5 AB2806. Interview and record review revealed the facility was utilizing exclusionary discipine practices without following the agreed upon procedures and documentation within the admission agreement prior to suspension. Based upon evidence obtained through record review and interview, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
One Type B deficiency is being cited on the 9099-d page. Appeal Rights provided. Report was reviewed with Director. Exit interview conducted. A notice of site visit was provided and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
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 3
Control Number 03-CC-20250423164156
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: CATALYST KIDS - SOUTH LAKE TAHOE
FACILITY NUMBER: 090306370
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
06/30/2025
Section Cited
CCR
101219(f)
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101219 Admission Agreements
(f) The licensee shall comply with all terms and conditions set forth in the admission agreement.

This requirement was not met as evidence by:
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Director stated she will review AB 2806 and review Catalyst resources on proper procedures for behavior. Director will re-train staff on discipline practices which abide by the admission agreement. Director will submit training material and staff signatures to LPA Marx by poc due date.
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Based on record review and interview, the licensee did not ensure the admission agreement was followed, 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: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
04/23/2025 and conducted by Evaluator Soleil Marx
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250423164156

FACILITY NAME:CATALYST KIDS - SOUTH LAKE TAHOEFACILITY NUMBER:
090306370
ADMINISTRATOR:KAUR, BALJITFACILITY TYPE:
850
ADDRESS:3441 SPRUCE AVENUETELEPHONE:
(530) 541-5887
CITY:SOUTH LAKE TAHOESTATE: CAZIP CODE:
96150
CAPACITY:23CENSUS: 11DATE:
06/23/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Baljit KaurTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
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5
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9
Staff are retaliating against child because parent filed a complaint
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Soleil Marx met with Director, Baljit Kaur, for the purpose of delivering findings to a complaint investigation alleging that staff are retaliating against child because parent filed a complaint. The purpose of today's inspection was explained.

Throughout the course of the investigation, LPA made observations, conducted interviews, and reviewed relevant records. LPA did not obtain evidence that would support the allegation that staff are retaliating against child because parent filed a complaint. Although the allegation above 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.

Exit interview conducted and report was reviewed with Director. A notice of site visit was provided and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3