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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561702673
Report Date: 02/06/2026
Date Signed: 02/09/2026 10:43:49 AM

Document Has Been Signed on 02/09/2026 10:43 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CATALYST KIDS- GREEN VALLEYFACILITY NUMBER:
561702673
ADMINISTRATOR/
DIRECTOR:		RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:170 N. JUANITA AVE.TELEPHONE:
(805) 486-3557
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 66DATE:
02/06/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:36 PM
MET WITH:Amanda IzaguirreTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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On February 6, 2026, at 1:36PM , Licensing Program Analyst (LPA) Cynthia Alvarez made an unannounced visit for the purpose of conducting a Case Management - Incident inspection. LPA met with Director Amanda Izaguirre to discuss an incident that was self-reported to Community Care Licensing Division (CCLD) office by telephone call on January 22, 2026. LPA toured the classroom and the areas where the incident occurred and interviewed the Director and the staff involved in the incident. During the inspection, there were 66 children present in the supervision and care of 9 staff.

On January 22, 2026, at 9:50AM children and staff were in classroom 3 , there was 3 teachers supervising a total of 20 children. There were enough teachers in the classroom to ensure they were within ratio. During this time C1 was able to open the door and run out to the attached next-door classroom 2. When C1 entered classroom 2 there were 3 teachers present, not supervising children, they were on break or preparing lesson plans. All 3 staff ran up to attend to C1; however, C1 was able to run into the teacher’s office and lock it. Staff member ran to obtain the key and returned within a few seconds, they were unlocked the door; however, C1 was pushing against the door so that staff members could not open it. Eventually after a few seconds more, staff members were able to open the door. C1 safe and was laughing. C1 parents were notified and they were understanding and stated this is typical behavior for C1. C1 returned to the center the next day after the incident.

To prevent similar incidents, the center is utilizing a positive behavior support plan, in which includes meeting with parents, teachers and upper management to ensure the child’s needs are being met. Additionally, the center is reviewing doors in the classroom and center to verify which ones will need to remain closed and locked, they have decided to keep the door to the teacher’s office locked to prevent children from entering.

Given the center took all appropriate actions, such as reporting to licensing in a timely manner and submitting a written report regarding the incident, no citations will be given regarding this incident.

A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Appeal Rights were provided to Site Supervisor

Exit interview conducted and report was reviewed with Director. Amanda Izaguirre.

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Cynthia Alvarez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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