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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841772
Report Date: 10/22/2024
Date Signed: 10/22/2024 03:17:40 PM

Document Has Been Signed on 10/22/2024 03:17 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CATALYST KIDS - OAK MEADOWSFACILITY NUMBER:
334841772
ADMINISTRATOR/
DIRECTOR:		CLAUDIA OLIVARESFACILITY TYPE:
840
ADDRESS:28600 POINSETTIA STREETTELEPHONE:
(951) 672-3355
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 4DATE:
10/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Claudia RoblesTIME VISIT/
INSPECTION COMPLETED:
03:40 PM
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On 10/22/24, Licensing Program Analysts (LPA) Kelli Waters arrived unannounced to follow up on a Unusual Incident Report (UIR) submitted to Community Care Licensing (CCL) on 9/19/24, regarding an incident that took place on 09/12/24. LPA met with Program Lead, Claudia Robles, and informed her of the reason for the visit. LPA conducted a facility inspection, took census of the facility, reviewed records, gathered documents, and conducted interviews.

Further information will be needed. Upon completion of the review, the outcome and/or recommendations will be provided.

Exit interview conducted and report was reviewed with the facility representative Claudia Robles. Appeal rights were provided and a Notice of Site Visit was given and must be posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelli Waters
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
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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