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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566212783
Report Date: 09/18/2024
Date Signed: 09/18/2024 01:05:27 PM

Document Has Been Signed on 09/18/2024 01:05 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CATALYST KIDS- DEL NORTEFACILITY NUMBER:
566212783
ADMINISTRATOR/
DIRECTOR:		RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:2500 LOBELIA DR.TELEPHONE:
(805) 988-3983
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 16DATE:
09/18/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:12 PM
MET WITH:Ambar Lopez TIME VISIT/
INSPECTION COMPLETED:
02:26 PM
NARRATIVE
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On September 18, 2024, at 01:12 PM, Licensing Program Analysts (LPAs) Aaliyah Zendejas and Shane Loftus made a unannounced inspection to deliver the findings of a complaint at the above mentioned Child Care Center (CCC). LPAs met with Supervisor (S1) Ambar Lopez, explained the nature and purpose of the inspection. LPAs, in the company of S1, toured the CCC interior and exterior in its entirety.

During the tour of the CCC, S1 stated that there had recently been construction on the gate directly next to the CCC. LPA asked S1 if this gate had changed the way day-care children are dropped off and/ or picked up. Licensee stated that it did, prior to construction parents were easily able to drop of children in care, but they had since changed the drop off location twice now to accommodate construction and the needs of parents and children enrolled. S1 stated that the construction had been going on since about May or June of 2024 and was still in process. LPA asked if licensee had reported the construction to licensing, and S1 stated they have not reported the construction to licensing, but have been in direct communication to all parents of children enrolled.

One Type B Deficiency is being cited based on LPAs' observation and interviews pursuant to Title 22 of the CA Code of Regulations and CCR 101237(a) (refer to LIC 809-D). Licensee was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Supervisor, Ambar Lopez.
SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Aaliyah Zendejas
LICENSING EVALUATOR SIGNATURE: DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
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 09/18/2024 01:05 PM - It Cannot Be Edited


Created By: Aaliyah Zendejas On 09/18/2024 at 12:21 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CATALYST KIDS- DEL NORTE
FACILITY NUMBER: 566212783

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
10/02/2024
Section Cited
CCR
101237(a)

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101237 Alterations to Existing Buildings or New Facilities (a) Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).
This requirement is not met as evidenced by:
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Supervisor is to submit the current plan they have regarding pick up and drop off procedures and any details they have regarding the construction to licensing by 10/02/2024
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Based on observation and interview, the licensee did not comply with the section cited above where supervisor did not notify licensing of construction occurring that directly affects the facility which poses a potential health, safety or personal rights risk to persons in care.
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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:Lissete Gonzalez
LICENSING EVALUATOR NAME:Aaliyah Zendejas
LICENSING EVALUATOR SIGNATURE:
DATE: 09/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2024


LIC809 (FAS) - (06/04)
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