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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483004464
Report Date: 10/28/2024
Date Signed: 11/09/2024 08:08:14 PM

Document Has Been Signed on 11/09/2024 08:08 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: 32CENSUS: 10DATE:
10/28/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:20 PM
MET WITH:Laurie MartinsTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
NARRATIVE
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An unannounced case management inspection was conducted today at 4:20pm by Licensing Program Analyst (LPA), Laura Chavez. LPA met with Program Lead (PL) Laurie Martins in response to an Unusual Incident Report received by the Department on 10/7/2024. It was reported that on 9/30/2024 at approximately 2:00pm the facility was notified that on 9/27/2024 a parent observed Staff #1 (S1) pulling Child #1’s (C1) ear.

PL was interviewed on 10/28/2024 at 4:30pm and stated as a result of the incident she, Staff #1, Staff #2, and Staff #3 completed an online training on 10/2/2024 through UKG as well as reviewing their employee handbook which includes information from Title 22, on Personal Rights.

Overall interviews with children and witnesses corroborated that S1 pulled C1's ear as a form of discipline. Children interviewed stated that although S1 pulled C1's ear it was not done in a manner to cause pain, injure, or threaten C1.

The following deficiency was cited: 101223(a)(3) - Personal Rights

Appeal Rights and a Notice of Site Visit was given. The Notice of Site Visit must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00. All licensing reports are public information and must be made available upon request for at least three years. An exit interview was conducted and report was reviewed with Program Lead Laurie Martins.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2024
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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Document Has Been Signed on 11/09/2024 08:08 PM - It Cannot Be Edited


Created By: Laura Chavez On 10/28/2024 at 04:11 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: 10/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/27/2024
Section Cited
CCR
101223(a)(3)

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Personal Rights:The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature.
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The Program Lead agrees that she and all staff will review Title 22 Regulations and view the viedo on the Departments website
(https://ccld.childcarevideos.org) regarding Personal Rights of children in care. After reviewing Title 22 Regulations and viewing the information on the website, Program
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Based on interviews conducted, the licensee did not comply with the section cited above. Overall interviews conducted cooroborated that S1 pulled C1's ear as a form of discipline which poses a potential health, safety of personal rights risk to persons in care.
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Lead agrees to provide a written statement on how she and all staff will ensure the Personal Rights of children will be met as well as a sign-in sheet of staff who reviewed and viewed the information requested. The plan of correction shall be submitted to CCLD on or before 11/27/2024.

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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: 10/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/28/2024


LIC809 (FAS) - (06/04)
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