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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483004464
Report Date: 05/20/2024
Date Signed: 05/20/2024 05:22:18 PM

Document Has Been Signed on 05/20/2024 05:22 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CATALYST KIDS - GRETCHEN HIGGINS SCHOOL-AGEFACILITY NUMBER:
483004464
ADMINISTRATOR/
DIRECTOR:
CHAVEZ, ESTHELAFACILITY TYPE:
840
ADDRESS:1465 PEMBROKE WAYTELEPHONE:
(707) 678-8919
CITY:DIXONSTATE: CAZIP CODE:
95620
CAPACITY: 70TOTAL ENROLLED CHILDREN: 53CENSUS: 40DATE:
05/20/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Esthela ChavezTIME VISIT/
INSPECTION COMPLETED:
05:35 PM
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On 5/20/2024 at 3:00pm, an annual/random inspection was made to the facility by Licensing Program Analysts (LPAs), Laura Chavez and Kayla Danielson. This program operates Monday, Tuesday, Thursday, and Friday; 1:15pm - 5:30pm, Wednesday operates 12:15pm-5:00pm. The facility was toured at 2:35pm inside and outside and the floor and yard plan submitted by the licensee were verified. Facility operates in portable classroom #2 located at Gretchen Higgins Elementary School.

Two teachers and two aides were supervising 40 children, and operating within the licensed capacity and ratio requirements. There are no pools or bodies of water on the premises.

The outdoor activity space was cushioned with wood chips and free of hazards.

Five children's records were reviewed at 2:11pm. Three staff records were reviewed at 1:40pm.

Report continued: See LIC 809-C's

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: CATALYST KIDS - GRETCHEN HIGGINS SCHOOL-AGE
FACILITY NUMBER: 483004464
VISIT DATE: 05/20/2024
NARRATIVE
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The following deficiencies were cited: 101238.2(f) Outdoor Activity Space, at 2:35pm LPA's observed the sandbox containing two logs and two small tarps that do not cover the entire sandbox. The tarps and logs were loosely kept in sandbox. Broken boards were observed on the deck located behind the sandbox exposing nails. 101238.2(d)(2) Outdoor Activity Space, a large pallet containing an unconstructed bike track was observed leaning on the fence surrounding the outdoor play area. The pallet can be easily climbed by children and potentially jump the fence. Pallet has exposed nails and pieces of broken wood. (See LIC809-D).

LPAs Laura Chavez and Kayla Danielson informed Center Director Esthela Chavez that this report dated 5/20/2024 documents 2 Type A citation(s) which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.


Also, LPAs Laura Chavez and Kayla Danielson informed Center Director Esthela Chavez to provide a copy of this licensing report dated 5/20/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024
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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: CATALYST KIDS - GRETCHEN HIGGINS SCHOOL-AGE
FACILITY NUMBER: 483004464
VISIT DATE: 05/20/2024
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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Center Director Esthela Chavez was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024
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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: CATALYST KIDS - GRETCHEN HIGGINS SCHOOL-AGE
FACILITY NUMBER: 483004464
VISIT DATE: 05/20/2024
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For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

Center Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Center Director Esthela Chavez.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/20/2024 05:22 PM - It Cannot Be Edited


Created By: Laura Chavez On 05/20/2024 at 04:58 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: CATALYST KIDS - GRETCHEN HIGGINS SCHOOL-AGE

FACILITY NUMBER: 483004464

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/20/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238.2(d)(2)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/21/2024
Plan of Correction
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The center director agrees to provide a plan on how the large pallet containing an unconstructed bike track was observed leaning on the fence surrounding the outdoor play area will be removed or made off limits to children care. The plan of correction shall be submitted to CCLD on or before 5/21/2024. The pallet can be easily climbed by children and potentially jump the fence. The pallet has exposed nails and pieces of broken wood.
Type A
Section Cited
CCR
101238.2(f)
Outdoor Activity Space
(f) Sandboxes shall be inspected daily and kept free of hazardous foreign materials.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/21/2024
Plan of Correction
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The center director agrees to provide a plan on how the sandbox with broken boards on the deck located behind the sandbox exposing nails will be made of limits to children in care. The plan of correction shall be submitted to CCLD on or before 5/21/2024.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Megan Aviles
LICENSING EVALUATOR NAME:Laura Chavez
LICENSING EVALUATOR SIGNATURE:
DATE: 05/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2024


LIC809 (FAS) - (06/04)
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