<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270516
Report Date: 08/16/2024
Date Signed: 08/16/2024 04:47:30 PM

Document Has Been Signed on 08/16/2024 04:47 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CATALYST KIDS-CANYON VIEWFACILITY NUMBER:
304270516
ADMINISTRATOR/
DIRECTOR:		TURLEY, ADRIANFACILITY TYPE:
840
ADDRESS:12025 YALE COURTTELEPHONE:
(714) 730-5194
CITY:IRVINESTATE: CAZIP CODE:
92602
CAPACITY: 105TOTAL ENROLLED CHILDREN: 105CENSUS: 22DATE:
08/16/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Adrian TurleyTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/16/24 at 1:40pm Licensing Program Analyst (LPA), Christine Jung conducted an unannounced case management-deficiency inspection to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with Facility Representative, April Sosa who contacted the facility director to notify of LPA’s visit. Facility director, Adrian Turley, arrived thirty minutes later. LPA disclosed the purpose of the inspection. There were 23 children and five (5) staff members present. Hours of operation are Monday through Friday 7:00am to 6:00pm.

LPA interviewed Staff 1 (S1) who was present on the day of the incident which took place on 08/02/24. On 08/02/24, S1 and two other staff (Staff 2 and Staff 3) were transitioning their class from inside the classroom to the outdoor play yard. There were 25 children present. The children were led out by Staff 2 (S2) and lined up at the gate by the classroom door. S1 was holding the classroom door open and conducting a headcount as children walked out. Once all the students were out, S3 walked out as well. One of the children, Child 1 (C1) asked to go back inside to retrieve their water bottle. S1 allowed C1 to go inside. After C1 walked out, S1 walked away and the classroom door closed behind them. Shortly after, Child 2 (C2) came out of the classroom. S1 stated they did not see C2 go into the classroom.

The Facility staff reported the incident to the Department in a timely manner. Based on the information obtained and interviews conducted, one Type A citation for Lack of Supervision is being cited on the LIC809D.

LPA Jung informed director Adrian Turley that this report dated 08/16/24 documents one (1) Type A citation. Type A citations shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

(Go to Page 2)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CATALYST KIDS-CANYON VIEW
FACILITY NUMBER: 304270516
VISIT DATE: 08/16/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(Page 2)

Also, LPA Jung informed the director Adrian Turley to provide a copy of this licensing report dated 08/16/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with director Adrian Turley.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 08/16/2024 04:47 PM - It Cannot Be Edited


Created By: Soo Jin Jung On 08/16/2024 at 02:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CATALYST KIDS-CANYON VIEW
FACILITY NUMBER: 304270516

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/16/2024
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director wrote an action plan and conducted staff training regarding supervision procesures, doing name-to-face, transitioning procedures, positioning more experienced staff in the back of the line when transitioning. Trainings were conducted on 08/05/24 and 08/06/24.
8
9
10
11
12
13
14
Based on interviews, the facility did not ensure visual observation of children in care, which poses an immediate risk to the health, safety, and personal rights of the clients in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Martha Malane
LICENSING EVALUATOR NAME:Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3