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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 090313184
Report Date: 02/28/2024
Date Signed: 02/28/2024 03:44:17 PM

Document Has Been Signed on 02/28/2024 03:44 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CATALYST KIDS - SOUTH LAKE TAHOEFACILITY NUMBER:
090313184
ADMINISTRATOR:MORAN, CAITLINFACILITY TYPE:
840
ADDRESS:3441 SPRUCE AVENUETELEPHONE:
(530) 541-5887
CITY:SOUTH LAKE TAHOESTATE: CAZIP CODE:
96150
CAPACITY: 39TOTAL ENROLLED CHILDREN: 39CENSUS: 0DATE:
02/28/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Baljit KaurTIME COMPLETED:
12:40 PM
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On 02/28/2024 at approximately 10:35am, Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Arianna Manabat and LPA Soleil Marx met with Director Baljit Kaur for the purpose of change of capacity. Licensee requests to increase from 39 to 47 school-age children. The fire clearance was received and granted on 02/20/2024 for 47 children. The program operates Monday through Friday from 7:00 AM to 6:00 PM.

INDOOR ACTIVITY SPACE:
There is one buildings on site that are used by the facility. The school-age classrooms are located in rooms 1 and 2. CAB LPA observed a sufficient amount of equipment, toys, tables, chairs, nap mats, and cubbies. During today's visit CAB LPA measured a total indoor space for the school-age as: 847.21 square feet in room 1, and 867.06 square feet in room 2; totaling 1714.27 square feet. This will accommodate Licensee’s request for 47 school-age children. There are two restrooms on site for the school-age, one on site for the preschool, and one on site for the staff to use. The school-age has 2 sinks in the class, 4 sinks in the restroom, and 4 toilets.

OUTDOOR ACTIVITY SPACE:
There is one school-age outdoor area on the property that is shared by the preschool program. LPAs confirmed that the playground space has always been shared by both programs but that the waiver is not present at the facility or available on the Department (FAS) system as the waiver predates the earliest report dated found on the Department system (02/02/2007). LPA Manabat confirmed that the facility will need to submit an updated request so that a current waiver can be found on file. The outdoor play area is fenced with a chain link fence that is at least four feet tall. CAB LPA observed a sufficient amount of equipment and toys available for use. There are two play structures on site with an age label for 2-5 for the preschool side and one without a safety label. The structure without a label is only used by school-aged children/ Facility Representative was reminded to follow the safety label found on the structural website and ensure that staff will provide supervision to children.. Report continues on LIC809-C....
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 090313184
VISIT DATE: 02/28/2024
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Facility Representative stated there are no firearms, weapons, or bodies of water on the facility premises. There are shaded areas supplied by trees, sides of buildings, and overhangs. CAB LPA measured a total of 12642.29 square feet, which will accommodate Licensee’s request for 47 school-age children.

Licensee Representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Prior to issuing a license, the following conditions must be submitted:

1. Pending Licensing Program Manager's final review.
2. Shared playground waiver needed.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024
LIC809 (FAS) - (06/04)
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