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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270269
Report Date: 03/30/2021
Date Signed: 03/30/2021 01:30:59 PM

Document Has Been Signed on 03/30/2021 01:30 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CATALYST KIDS-UNIVERSITY PARKFACILITY NUMBER:
304270269
ADMINISTRATOR:GUZMAN, EMILIANOFACILITY TYPE:
840
ADDRESS:4572 SANDBURG WAY (PORTABLE)TELEPHONE:
(949) 653-0352
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY: 70TOTAL ENROLLED CHILDREN: 0CENSUS: 20DATE:
03/30/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Emiliano GuzmanTIME COMPLETED:
11:30 AM
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On 03/30/2021, at 11:00 a.m., Licensing Program Analyst (LPA), Stacy Torrence conducted a virtual inspection with Emiliano Guzman, Director. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. There was 20 children and 4 staff member present. Due to COVID-19 state of emergency, a waiver to allow the usage of additional spaces, not licensed by the Department, to accommodate their existing school age children according to the current class size restrictions as a precautionary measure with the COVID-19 outbreak, waiver granted on 06/22/2020 until 09/22/2020, the department has agreed to extend the waiver to 06/16/2021.

The Orange County Fire Authority Permit was granted on 08/20/2020 to add the following rooms: P1 and P27.



Parents check-in procedures are as follows: parents walk children to a table setup outside the front door of the classroom; parents sign in on an IPad, located on the table, children’s temperature is taken, then children go wash their hands. If children become ill during the day, they will rest in the isolation room, located in Portable 27, and they will use the school staff’s bathroom, located next to the daycare classroom. Children’s authorized representative will be contacted immediately for pick up, if a child becomes ill. Department of Public Health will be contacted in regard to any COVID-19 illness.

Children will stay with the same group as assigned and will not be moved from one group to the other. No more than 16 individuals in a cohort and groups must be kept physically separated. Age appropriate furniture including tables and chairs and are present in each of the rooms to meet the needs of children in care. There is a children’s bathroom, located in classroom CC1. There is a total of 1 toilet and 2 sinks, the facility also has access to the elementary school children’s bathrooms. There is a designated outdoor play area with age appropriate equipment and activities. Children bring their own water bottles from home and there are water jugs and disposal cups available in each classroom.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2021
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CATALYST KIDS-UNIVERSITY PARK
FACILITY NUMBER: 304270269
VISIT DATE: 03/30/2021
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The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies.

A health check on staff and children will be conducted each day upon arrival. LPA discussed the terms and conditions of the waiver and facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the Orange County Child Care Office at (714) 703-2800.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2021
LIC809 (FAS) - (06/04)
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