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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617452
Report Date: 01/26/2023
Date Signed: 01/26/2023 10:29:21 AM

Document Has Been Signed on 01/26/2023 10:29 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 - FOULKS RANCHFACILITY NUMBER:
343617452
ADMINISTRATOR:GUZMAN, MARIAFACILITY TYPE:
850
ADDRESS:6211 LAGUNA PARK DRIVETELEPHONE:
(916) 684-0861
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 24TOTAL ENROLLED CHILDREN: 15CENSUS: 10DATE:
01/26/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Maria GuzmanTIME COMPLETED:
10:30 AM
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Application Specialist (AS) Alecia Sifuentes met with Director, Maria Guzman for the purpose of a case management inspection. Licensee requests a change of capacity to serve 40 preschool children from age two to entry into kindergarten. The program operates Monday through Friday from 6:45 a.m. to 6:00 p.m. The fire clearance was granted and received on 1/10/2023.

INDOOR ACTIVITY SPACE:
There are two preschool classrooms located in room 9 and room 10. AS observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. AS measured both classrooms. The total classroom space contains a total of 1,461 square feet, which will accommodate Licensee's request for 40 preschool children. There are 3 toilets and 4 sinks for the children, and a separate private restroom for the staff. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

OUTDOOR ACTIVITY SPACE:
There is one outdoor preschool area on the property. AS measured the outdoor space. The outdoor play area contains a total of 3,075 square feet, which will accommodate Licensee’s request for 40 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Director 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.

Report continues on LIC809-C.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: CATALYST KIDS - FOULKS RANCH
FACILITY NUMBER: 343617452
VISIT DATE: 01/26/2023
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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 Director, Maria Guzman.

Effective today, 1/26/2023, AS will approve the change of capacity for 40 preschool children.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
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