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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270425
Report Date: 10/18/2024
Date Signed: 10/18/2024 12:22:20 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/21/2024 and conducted by Evaluator Karen Navar
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240821141205
FACILITY NAME:CATALYST KIDS-NELSONFACILITY NUMBER:
304270425
ADMINISTRATOR:MORENO, ERIKAFACILITY TYPE:
840
ADDRESS:14392 BROWNING AVENUETELEPHONE:
(714) 731-0111
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:70CENSUS: 0DATE:
10/18/2024
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Site Supervisor-Andrea CisnerosTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Responsibility for Providing Care and Supervision
INVESTIGATION FINDINGS:
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On 10/18/2024 at 11:25 AM, Licensing Program Analyst (LPA), Karen Navar conducted an unannounced complaint inspection for the purpose of delivering findings. This is a continuation of a complaint inspection initiated on 08/26/2024.
Upon arrival LPA met with Site Supervisor Andrea Cisneros and was led on a tour of the facility inside and outside. At 11:25 AM, LPA observed a total of 0 school age children and 4 staff.
A review of the Facility Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.
On 08/21/2024, the Orange County Child Care Office received a complaint alleging: 1) Staff did not provide adequate supervision resulting in child being hit.

Continue to page 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
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 7
Control Number 06-CC-20240821141205
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CATALYST KIDS-NELSON
FACILITY NUMBER: 304270425
VISIT DATE: 10/18/2024
NARRATIVE
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Page 2.
During interview with Reporting Party (RP) on 8/23/2024. RP stated that Child #1(C1) reported an injury to Staff #3 (S3) on 08/05/2024, and RP was not informed about it. RP then stated on 08/06/2024 RP reported it to Staff (S7).
During the investigation, LPA toured the facility on 08/26/2024 and 9/17/2024, obtained Children’s Roster, updated Personal Roster LIC500, incident reports, Parent Handbook, Employee Job Responsibilities, and conducted interviews with the Reporting Party, staff, parents, and children.

On 08/26/2024 at 9:00AM, LPA conducted an on site inspection for the purpose of investigating a complaint received on 08/21/2024 in the Orange County Child Care Office and toured facility with Site Supervisor-Andrea Castillo. During inspection LPA toured classrooms and playground area and no children were present. LPA interviewed 1 staff and obtained copies of staff employee job responsibilities, incident reports. During visit LPA was informed that the staff that were present during the dates listed in the complaint have since relocated to the Catalyst Kids-Heidman location.

On 08/26/2024 at 11:10AM, LPA conducted a collateral visit at Catalyst Kids-Heideman for the purpose of interviewing staff. During visit LPA interviewed 5 staff present at the Catalyst Kids-Nelson location during the dates of the reported incident.

On 09/17/2024 at 2:00PM, LPA conducted an on site inspection for the purpose of observing staff supervision of children in care and to interview children. LPA observed staff supervising, engaged, and supporting children needs outside at the picnic tables during snack time. During classroom observation, LPA observed staff supervising children by walking around and engaged with children during classroom activities.



During staff interviews, 7 staff (S1-S7) stated that supervision means, “keeping an eye on children at all times and keeping children safe”. 6 out of 7 staff stated they herd of an incident of child (C1) being hit by Child #4 (C4) and that C1 reported the incident to S3 during playground time. During the interview with S3, C3 indicated they didn’t observe the incident and were unaware until C1 informed them.

Continue to page 3.

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 06-CC-20240821141205
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CATALYST KIDS-NELSON
FACILITY NUMBER: 304270425
VISIT DATE: 10/18/2024
NARRATIVE
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Page 3.
LPA interviewed 3 children (C1-C3) on 9/17/2024. 1 child stated that there was an incident when they were slapped in the face by another child and had to go and tell the teacher who was standing in the grass area next to the fence and that the teacher did not see it happen. C4 was not available to interview as C4 no longer attends the program.

LPA called 8 parents and 5 of the parents called were able to be interviewed. Parents interviewed did not disclose any information pertaining to the allegations.



As this is a health, safety, or personal rights risk to persons in care and a Type A citation is issued: 101229 Responsibility for Providing Care and Supervision.

Based on LPA observations and interviews with reporting party, staff, parents, and children, the preponderance of evidence has been met; therefore, Title 22, Division 12 Chapter 1 Article 06.101229 Responsibility for Providing Care and Supervision: Staff did not provide adequate supervision resulting in child being hit is substantiated. See LIC9099D for deficiency cited.

Exit interview conducted and report was reviewed with Site Supervisor Andrea Cisneros. The Site Supervisor was informed that the “Notice of Site Visit” must be posted on or adjacent to the door for 30 days. Failure to post will result in a Civil Penalty of a $100.00. Appeal Rights and deficiencies were discussed. Site Supervisor was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

End of report.

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/21/2024 and conducted by Evaluator Karen Navar
COMPLAINT CONTROL NUMBER: 06-CC-20240821141205

FACILITY NAME:CATALYST KIDS-NELSONFACILITY NUMBER:
304270425
ADMINISTRATOR:MORENO, ERIKAFACILITY TYPE:
840
ADDRESS:14392 BROWNING AVENUETELEPHONE:
(714) 731-0111
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:50CENSUS: 0DATE:
10/18/2024
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Site Supervisor-Andrea CisnerosTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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2
3
4
5
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7
8
9
Reporting Requirements
INVESTIGATION FINDINGS:
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On 10/18/2024 at 11:25AM, Licensing Program Analyst (LPA), Karen Navar conducted an unannounced complaint inspection for the purpose of delivering findings. This is a continuation of a complaint inspection initiated on 08/26/2024.
Upon arrival LPA met with Site Supervisor Andrea Cisneros and was led on a tour of the facility inside and outside. At 11:25AM, LPA observed a total of 0 school age and 4 staff.

A review of the Facility Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.

On 08/21/2024, the Orange County Child Care Office received a complaint alleging: 1) Staff did not inform child's authorized representative of child being hit, nor did they provide an incident report. Continue to page 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
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 7
Control Number 06-CC-20240821141205
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CATALYST KIDS-NELSON
FACILITY NUMBER: 304270425
VISIT DATE: 10/18/2024
NARRATIVE
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Page 2.
During interview with Reporting Party (RP) on 08/23/2024, RP stated that Child #1 (C1) reported an injury to Staff #3 (S3) on 08/05/2024 and the RP was not informed about it. RP then stated on 08/06/2024 they reported it to staff (S7).

During the investigation, LPA toured the facility on 08/26/2024 and 09/17/2024, obtained Children’s Roster, updated Personal Roster LIC500, incident reports, Parent Handbook, Employee Job Responsibilities, conducted interviews with the Reporting Party, staff, parents, and children.



On 08/26/2024 at 9:00AM, LPA conducted an onsite inspection for the purpose of investigating a complaint received on 08/21/2024 in the Orange County Child Care Office and toured facility with Site Supervisor-Andrea Castillo. During inspection LPA toured classrooms/playground area and no children were present. During visit LPA interviewed 1 staff and was informed that the staff who were present in the summer have moved to Catalyst Kids-Heidman.

On 08/26/2024 at 11:10AM, LPA conducted a collateral visit at Catalyst Kids-Heidman for the purpose of interviewing staff. During visit LPA interviewed 5 staff present during the dates listed in the complaint.

7 staff (S1-S7) interviewed during the investigation. 6 of 7 staff stated that when a child gets injured, they asses the child, fill out an incident report, and will call parents depending on the injury. LPA interviewed 3 children (C1-C3) on 9/17/2024. 1 of 3 children stated that staff will tell parents if they get injured while in care. LPA reviewed incident reports with dates indicated in the complaint and found incident reports to be documented with incident details, location, date, and name of person recording the incident. LPA observed an incident report for C1 for the incident that occurred on 8/5/2024 in the child’s file.

On 10/07/2024, LPA conducted parent interviews. LPA called 8 parents and 5 of the parents called were able to be interviewed. Parent interviewed did not disclose any information pertaining to the allegations.



Based on LPA observations, interviews with reporting party, staff, children and parents, there was not enough evidence to substantiate the allegations Reporting Requirements: The RP was provided a report about the incident on the following day. Although the allegations may have happened or is valid the preponderance of evidence has not been met; therefore, the allegations are found to be UNSUBSTANTIATED. No deficiency cited. Continue to page 3
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 06-CC-20240821141205
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CATALYST KIDS-NELSON
FACILITY NUMBER: 304270425
VISIT DATE: 10/18/2024
NARRATIVE
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*This is an amended report.
Page 3.
Exit interview conducted and report was reviewed with Site Supervisor Andrea Cisneros. Site Supervisor was informed that the “Notice of Site Visit” must be posted on or adjacent to the door for 30 days. Failure to post will result in a Civil Penalty of a $100.00. Site Supervisor was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

End of report.

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 06-CC-20240821141205
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CATALYST KIDS-NELSON
FACILITY NUMBER: 304270425
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/18/2024
Section Cited
CCR
101229(a)(1)
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101229(a)(1) Responsibility for Providing Care and Supervision.(a)The licensee shall provide care and supervision ...(1)No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
This requirement is not met as evidenced by:
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Site Supervisor stated she will go over Responsibility of Providing Care and Supervision with staff and have them sign they understand. Site Supervisor will email to LPA by the end of the day on Monday.
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Based on interviews conducted with 7 staff members 6 staff stated they herd of the incident of a child being hit and reporting it to a teacher. 1 child interview stated they were hit and had to go report it to a teacher. As this is a 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.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 7