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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343603892
Report Date: 03/13/2023
Date Signed: 03/13/2023 04:38:52 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/12/2023 and conducted by Evaluator Karyn Guerra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230112085857
FACILITY NAME:CATALYST KIDS - ARTHUR DUDLEYFACILITY NUMBER:
343603892
ADMINISTRATOR:GRANT, ALANFACILITY TYPE:
840
ADDRESS:8000 AZTEC WAYTELEPHONE:
(916) 331-1356
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:100CENSUS: 43DATE:
03/13/2023
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Krystle MitchellTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Day care children engaged in inappropriate activites due to lack of supervision
INVESTIGATION FINDINGS:
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At 3:00 p.m. on Monday, March 13th, 2023, Licensing Program Analyst (LPA) Karyn Guerra met with Center Manager, Krystle Mitchell for the purpose of a complaint inspection and to deliver findings. It was alleged that day care children engaged in inappropriate activities due to lack of supervision. Throughout the course of the investigation, LPA conducted interviews and received documentation. The facility self reported an incident on 1/5/2023 involving Child 1 (C1), Child 2 (C2), and Child 3 (C3) during a cardboard gingerbread house activity. Interviews with children confirmed that there were times that staff could not see children in the gingerbread houses. It was stated in self report that the gingerbread houses were removed following the incident. The preponderance of evidence standard has been met, and the allegation is substantiated. Title 22 deficiencies are cited on the subsequent pages of this report. Center Manager acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee

report continued on 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 03-CC-20230112085857
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: CATALYST KIDS - ARTHUR DUDLEY
FACILITY NUMBER: 343603892
VISIT DATE: 03/13/2023
NARRATIVE
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shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Center Manager's signature on this report acknowledges receipt of these rights. This report was reviewed with Center Manager, Krystle Mitchell. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20230112085857
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: CATALYST KIDS - ARTHUR DUDLEY
FACILITY NUMBER: 343603892
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/14/2023
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision (a)(1)No child(ren) shall be left without the supervision of a teacher at any time, except as specified... Supervision shall include visual observation. This requirement was not met, as evidenced by:
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LPA will provide supervision training videos via email. Director or Center Manager will provide documentation of completed training.
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Based on interviews, staff did not have visual supervision of children. This poses an immediate risk to the health and safety of 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.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3