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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483004464
Report Date: 06/19/2024
Date Signed: 06/19/2024 11:20:45 AM

Document Has Been Signed on 06/19/2024 11:20 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
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: 30CENSUS: 25DATE:
06/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Esthela ChavezTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
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On 6/19/2024 at 9:35am, Licensing Program Analyst (LPA), Laura Chavez conducted a case management inspection to the facility for the purpose of determining the distance between the facility and the bathroom for staff use located inside the office of Gretchen Elementary School. During today's inspection LPA Chavez was unable to access the bathroom due to the elementary school being closed in observance of Juneteenth.

There were no deficiencies cited during today’s inspection

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

An exit interview was conducted and report was reviewed with Center Director Esthela Chavez.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2024
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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