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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343608112
Report Date: 04/03/2023
Date Signed: 04/03/2023 09:49:53 AM

Document Has Been Signed on 04/03/2023 09:49 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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:CATALYST KIDS - ELLIOTT RANCHFACILITY NUMBER:
343608112
ADMINISTRATOR:SHAYLA WILLIAMS-BARNESFACILITY TYPE:
840
ADDRESS:10000 EAST TARON DRTELEPHONE:
(916) 714-2313
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 2DATE:
04/03/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nancy Torres AcevedoTIME COMPLETED:
10:30 AM
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Application Specialist (AS) Alecia Sifuentes and Licensing Program Analyst (LPA) Corina Beckby met with Center Manager, Nancy Torres Acevedo for the purpose of a case management inspection. Licensee requests a change of capacity to serve 70 school-age children from kindergarten and above. The facility is located at Elliott Ranch Elementary School. The program operates Monday through Friday from 7:00 a.m. to 6:00 p.m. AS received the elementary school’s annual passing fire inspection report on 3/30/2023.

A health and safety inspection was conducted in all areas accessible to children. Center Manager stated that the school-age program previously utilized three classrooms but will now only be occupying two classrooms (room 3 and room 4). Per Health and Safety Code 1596.806, the facility is exempt from square footage requirement; therefore, AS did not take measurements. The children will use the school’s restrooms, and there is a separate private restroom for staff.

Center Manager was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Center Manager, Nancy Torres Acevedo.

Effective today, 4/3/2023, AS will approve the change of capacity for 70 school-age children.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2023
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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