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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270761
Report Date: 04/26/2023
Date Signed: 04/26/2023 02:58:03 PM


Document Has Been Signed on 04/26/2023 02:58 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:CATALYST KIDS-LINDBERGHFACILITY NUMBER:
304270761
ADMINISTRATOR:SOTO, GERARDOFACILITY TYPE:
850
ADDRESS:220 23RD STREETTELEPHONE:
(949) 650-2506
CITY:COSTA MESASTATE: CAZIP CODE:
92627
CAPACITY:256CENSUS: 111DATE:
04/26/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Site SupervisorTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a case management inspection of the facility for the purpose of decreasing capacity from 256 preschool children to 232 preschool children by taking off rooms # 17 and 18 off of the license. LPA met with Site Supervisor, Gerardo Soto and the Program Supervisor, Silvia Magalhaes who toured the facility with LPA. Census was taken. Currently the facility is licensed for 256 children in rooms # 10, 11, 12, 13, 15, 16, 17, 18, and 19. The licensee has requested to provide care and supervision for 232 preschool children in rooms 10, 11, 12, 13, 15, 16, and 19 for ages 2 to 5 years old, Monday through Friday, from 7:00 am to 6:00 pm. Today the total census were 111 preschool children with 17 staff in rooms 10,11, 12, 13, 15, 16, and 19.
A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
The Preschool is a Title 5 program that offers full time program.
The facility provides morning snack and afternoon snacks and lunch to children. Children nap in this program. Cots are provided by the facility and bedding are provided by parents which are washed on a weekly basis. The children are dropped off and are singed in and out at the entrance door. The facility has met all the posting requirements.
The indoor activity space measurement for the current requested capacity is as follows:
Room # 10 : 927.91 square feet.
Room # 11: 928.19 square feet
Room # 12: 928.42 square feet
Room # 13: 871.69 square feet
Room # 15: 1189 square feet
Continued on page 2
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2741
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:
DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/26/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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-LINDBERGH
FACILITY NUMBER: 304270761
VISIT DATE: 04/26/2023
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Room # 16 is: 899.58 square feet
Room # 19 is: 1073 square feet
Total indoor space is 6817.80 square feet divided by 35 = 194.79 (195 children)
Total outdoor activity space measurement is as follows:
Outdoor space is 24492.5 square feet divided 75 sq feet =326.56 (327 children).
Total of sinks: 17 x 15= 255 children
Total of toilets: 14 X 15= 210 children.
Total of urinals: 6
The classrooms are equipped with carbon monoxide detector.
Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Based on today’s measurements, the sinks and toilets availability, the minimum factor is the total indoor capacity which is enough for 195 children. the request for decreasing capacity will be final reviewed and discussed with management in the Regional Office. The facility will be notified if any additional information is required.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the Site Supervisor, Gerardo Soto.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the Site Supervisor, Gerardo Soto.

End of report

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2741
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023
LIC809 (FAS) - (06/04)
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