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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270754
Report Date: 09/24/2024
Date Signed: 09/24/2024 11:31:00 AM

Document Has Been Signed on 09/24/2024 11:31 AM - 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-OAK VIEWFACILITY NUMBER:
304270754
ADMINISTRATOR/
DIRECTOR:		TARIN, ELVAFACILITY TYPE:
850
ADDRESS:17341 JACQUELYN LANETELEPHONE:
(714) 842-4064
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 24DATE:
09/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Estefany Lopez, Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Tran conducted a case management inspection to follow up on a self-report unusual incident that was submitted to Regional Office on 09/12/2024. It was reported by Marsha Linquist, Center Manager, the unusual incident occurred on 09/12/2024, when Child #1 (C1) was left unattended in the playground for approximately 10 minutes after the children were transitioned into the classrooms.

Center Manager stated the following: Staff #1 (S1) and Staff #2 (S2) were with 16 children on the playground. They transitioned from outside to inside. C1 was not in their group. C1 was hiding behind the play structure. Staff #3 (S3) came to the classroom to help with children's lunch, saw through the glass door that C1 was walking from behind the play structure to the classroom. C1 was left unattended for 10 minutes on the playground.

During today's inspection, a tour of the facility was conducted. There were 5 children supervised by 2 staff members in classroom Preschool Three, 15 children supervised by 2 staff members in classroom Preschool 2 and 4 children supervised by 2 staff members on the playground. Facility was operating within compliance with capacity and staff to child ratio. LPA Tran met with Site Supervisor Estefany Lopez and informed Mrs. Lopez purpose of the visit. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances. During today's inspection staff members were interviewed.



During the interviews, all 3 interviewed staff confirmed that C1 was left unattended in the playground for approximately 10 minutes. S1 admitted that S1 and S2 did not conduct name-to-face to account for each child who was outside during the transition. Site Supervisor Lopez stated facility had conducted meetings to address concerns individually with involved staff members, and a retraining for all staff members in regarding to Supervision Best Practices and Name-to-Face procedure. (Continue next page)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CATALYST KIDS-OAK VIEW
FACILITY NUMBER: 304270754
VISIT DATE: 09/24/2024
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(Page 2 of Report)

Based on LPA’s interviews conducted with staff, the following deficiency is being cited in accordance with California Code of Regulations, Title 22, Division 12, Section 101229(a)(1) Responsibility for Providing Care and Supervision. The deficiency is being cited on the attached 809D.

Due to the Type A violation the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days. The licensee is to keep Acknowledgement Receipt (LIC9224) signed by parents in each child’s file.

Exit interview was conducted. The Notice of Site Visit was posted. Site Supervisor was advised the Notice of Site Visit must be posted for 30 days or 100$ Civil Penalty will be assessed. Appeal rights provided and explained. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

(End of Report)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/24/2024 11:31 AM - It Cannot Be Edited


Created By: Nguyen K Tran On 09/24/2024 at 11:09 AM
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-OAK VIEW
FACILITY NUMBER: 304270754

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/24/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Responsibility for Providing Care and Supervision. (a) The licensee shall provide care and supervision...(1) No child(ren) shall be left without the supervision of a teacher at any time... This requirement is not met evidenced by:
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Site Supervisor had conducted individual meetings with involved staff to address concerns, and a retraining for all facility staff regarding Supervision Best Practices on 09/18/2024.
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Based on interviewes, all 3 interviewed staff confirmed that Child #1 was left unattended in the playground for approximately 10 minutes since Staff #1 and Staff #2 did not follow transition procedure, this posed an immediate risk to the health, safety and personal rights of the children 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.
SUPERVISOR'S NAME:Martha Malane
LICENSING EVALUATOR NAME:Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:
DATE: 09/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/24/2024


LIC809 (FAS) - (06/04)
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