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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 570310386
Report Date: 06/23/2022
Date Signed: 06/23/2022 05:33:49 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/17/2022 and conducted by Evaluator Salene Mayberry
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20220517151738
FACILITY NAME:CATALYST KIDS - CESAR CHAVEZFACILITY NUMBER:
570310386
ADMINISTRATOR:MONROE, MARY ALLISONFACILITY TYPE:
840
ADDRESS:1221 ANDERSON ROADTELEPHONE:
(530) 753-3808
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY:124CENSUS: 16DATE:
06/23/2022
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Evila Flores, Center ManagerTIME COMPLETED:
05:35 PM
ALLEGATION(S):
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Lack of Supervision: Staff are not providing adequate supervision to children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Salene Mayberry and Licensing Program Manager (LPM) Jeanne Smith met with Center Manager, Evila Flores to deliver findings of the complaint investigation regarding the above allegation.

During the investigation, LPA Mayberry reviewed the file, conducted interviews with staff members and reviewed facility records. All staff interviews corroborated that several children engaged in inappropriate behavior that went unnoticed by staff while the class was outside in the play area on May 16, 2022. Based on a preponderance of evidence obtained through interviews the complaint regarding the above allegation was SUBSTANTIATED.

Report continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 53-CC-20220517151738
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: CATALYST KIDS - CESAR CHAVEZ
FACILITY NUMBER: 570310386
VISIT DATE: 06/23/2022
NARRATIVE
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The following Title 22 Deficiency is being cited on the subsequent LIC9099-D page. Upon receipt of Type A citations, the Center Manager shall post and provide copies of the LIC9099-D for parents/guardians of children in care and for parents/guardians of newly enrolled children for the next 12 months. Center Manager must also keep the signed LIC9224, Acknowledging Receipt of LIC9099-D in each child's file.

In addition to be being cited today, a civil penalty is being assessed as this is a repeat violation for a lack of supervision within the last 12 months.

Appeal Rights were provided. A notice of site visit was provided by LPA Mayberry to Center Manager as the facility is not currently opened.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20220517151738
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: CATALYST KIDS - CESAR CHAVEZ
FACILITY NUMBER: 570310386
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
06/30/2022
Section Cited
CCR
101229(a)(1)
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Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without supervision. . .Supervision shall include visual observation.
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Regional Director (RD) was not present to participte in a POC during today's visit. Due to the campus being closed for the Summer and staff not being present at the site, the POC will be determined at a later date with Regional Director, Nicole Rowe and will be
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This was evidenced by the following: on May 16, 2022, a lack of supervision lead to an opportunity allowing several children to go under a play structure and urinate in cups. This poses and immediate risk to the health and safety of children in care.
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discussed with management at the Child Care Office.
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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.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3