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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 344500716
Report Date: 03/03/2025
Date Signed: 03/03/2025 02:25:50 PM

Document Has Been Signed on 03/03/2025 02:25 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CATALYST KIDS - JOSEPH SIMSFACILITY NUMBER:
344500716
ADMINISTRATOR/
DIRECTOR:		SIMMONS, LEXIFACILITY TYPE:
850
ADDRESS:3033 BUCKMINSTER DRIVETELEPHONE:
(916) 691-6768
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 8DATE:
03/03/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Lexi SimmonsTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 03/03/2025, Licensing Program Analyst Katy Velazquez (LPA) conducted a field visit to the facility for the purpose of a case management inspection regarding a self reported Unusual Incident Report (UIR) dated 02/20/2025. LPA arrived at the facility and was met by Director Lexi Simmons (D1). LPA disclosed the purpose of the inspection and was granted entrance into the facility. LPA toured the facility and observed 8 preschool aged children being supervised by 2 staff members. LPA determined through accessing Guardian that all required adults were background cleared.

LPA collected and reviewed documentation. LPA requested a copy of the Facility Roster. LPA conducted staff and children interviews. Interviews and information collected supported what was reported in the UIR: a child (C1) made a disclosure to their parent(s) that a staff member (S1) had inappropriate contact with the child. The staff member has been removed from the facility, the incident was reported, and the incident is currently being investigated.

No deficiencies were cited in the areas that were evaluated today on 03/03/2025. An exit interview was conducted, and the report was reviewed with Director Simmons. LPA provided D1 with Licensee Appeal Rights. A Notice of Site visit was posted by LPA 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.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2025
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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