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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 570310386
Report Date: 03/29/2023
Date Signed: 03/29/2023 01:18:07 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
01/25/2023 and conducted by Evaluator Salene Mayberry
COMPLAINT CONTROL NUMBER: 53-CC-20230125104855
FACILITY NAME:CATALYST KIDS - CESAR CHAVEZFACILITY NUMBER:
570310386
ADMINISTRATOR:NOLASCO, ANDREAFACILITY TYPE:
840
ADDRESS:1221 ANDERSON ROADTELEPHONE:
(530) 753-3808
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY:124CENSUS: 14DATE:
03/29/2023
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Itzel RamirezTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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1. Staff did not prevent inappropriate interactions between day care children from continuing
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Salene Mayberry met with Program Lead Itzel Ramirez to deliver findings of the complaint investigation regarding the above allegation.

It was alleged that staff did not prevent Child #2 from inappropriately touching Child #1 on multiple occasions in Spring 2022. During the investigation, LPA observed staff interactions with children in care, conducted interviews, obtained relevant documentation, and reviewed facility records.

The Complainant stated that staff should have been aware of prior incidents and taken measures to prevent an incident of Child #2 inappropriately touching Child #1 on May 25, 2022. According to the Complainant, there had been two previous incidents between the same two children in the weeks preceding May 25, 2022.

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

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
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 5
Control Number 53-CC-20230125104855
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: 03/29/2023
NARRATIVE
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LPA learned that the facility went through several staffing changes during the period between March - May 2022. LPA was able to corroborate that the May 25, 2022, incident was witnessed by a staff member, who promptly intervened. The statements made by the staff member indicated that no preventative measures were taken to monitor the two children or prevent the incident. The staff member explained that she was not aware of previous incidents between the two children; however, LPA learned other staff members had been aware of at least one of the previous incidents between the same two children.

Based on a preponderance of evidence obtained the complaint regarding the above allegation was SUBSTANTIATED.

A Type A deficiency was cited on the subsequent page (LIC9099-D) of this report.

Upon receipt of Type A citations, Program Lead 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. Program Lead must also keep the signed LIC9224, Acknowledging Receipt of LIC9099-D in each child's file.

An Exit Interview was conducted in which the report was reviewed and discussed with Program Lead. A copy of the report and Appeal Rights were provided. A notice of site visit was posted by LPA and Program Lead understand that the notice must remain posted for 30 days. A failure to comply with the positing requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 53-CC-20230125104855
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: 03/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
03/30/2023
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights:…(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs… This requirement was not met, as evidenced by:
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Program Lead (PL) advised that staff at the center just completed training on March 1, 2023, which included an emphasis on personal rights and supervision. PL will provide LPA with a list of staff who attended. PL also advised that staff currently address interactions between
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Interviews revealed that facility staff who should have had knowledge of previous incidents failed to prevent Child #2 from inappropriately touching Child #1 on May 25, 2022. This poses and immediate risk to the health and safety of children in care.
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children as they happen and will provide LPA with a document outlining how they speak to the children about being respectful of each other’s bodies and what to do if they do not feel safe.
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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: 03/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
01/25/2023 and conducted by Evaluator Salene Mayberry
COMPLAINT CONTROL NUMBER: 53-CC-20230125104855

FACILITY NAME:CATALYST KIDS - CESAR CHAVEZFACILITY NUMBER:
570310386
ADMINISTRATOR:NOLASCO, ANDREAFACILITY TYPE:
840
ADDRESS:1221 ANDERSON ROADTELEPHONE:
(530) 753-3808
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY:124CENSUS: 14DATE:
03/29/2023
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Itzel RamirezTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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2
3
4
5
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9
1. Lack of supervision resulted in inappropriate interactions between day care children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Salene Mayberry met with Program Lead Itzel Ramirez to deliver findings of the complaint investigation regarding the above allegation.

It was alleged that due to a lack of supervision Child #1 was touched inappropriately multiple times on different occasions by Child #2 in Spring 2022. During the investigation, LPA observed staff interactions with children in care, conducted interviews, obtained relevant documentation, and reviewed facility records.

The Complainant stated that one incident of Child #2 inappropriately touching Child #1 occurred in late March or early April 2022. The incident was not observed by staff. According to the Complainant, a second incident took place in early May 2022, and was reported by a staff member. The Complainant was then informed by a staff member of a third incident on May 25, 2022.

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

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 53-CC-20230125104855
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: 03/29/2023
NARRATIVE
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LPA learned that the facility went through several staffing changes during the period of March - May 2022. LPA was unable to obtain consistent statements regarding the alleged first two incidents; however, LPA was able to corroborate that the May 25, 2022, incident was witnessed by a staff member, who promptly intervened.

Based on the information obtained throughout the course of this investigation, the above allegation could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the finding is UNSUBSTANTIATED.

An Exit Interview was conducted in which the report was reviewed and discussed with Program Lead. A copy of the report and Appeal Rights were provided. A notice of site visit was posted by LPA and Program Lead understand that the notice must remain posted for 30 days. A failure to comply with the positing requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5