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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270856
Report Date: 09/27/2021
Date Signed: 09/27/2021 12:22:14 PM

Document Has Been Signed on 09/27/2021 12:22 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CATALYST KIDS-DEL MAR LINCOLNFACILITY NUMBER:
304270856
ADMINISTRATOR:PATE, CHRISTYFACILITY TYPE:
840
ADDRESS:3101 PACIFIC VIEW DRIVETELEPHONE:
(949) 718-1103
CITY:CORONA DEL MARSTATE: CAZIP CODE:
92625
CAPACITY: 70TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/27/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Administrator Ms. Marsha Lee and Ms. Christy PateTIME COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA) Ketki Desai conducted an announced Case Management Licensee initiated inspection for a change in capacity. Licensee is requesting a change to the current School age children from 70 children to 35 children (4.9 to 12 years old) in Portable # 1, on the campus of Lincoln Elementary school under the Newport- Mesa Unified School district. The Licensee is Decreasing the capacity by removing one Portable (Room # 2 and adding the Preschool age program.

LPA met with Facility Administrator Ms. Marsha Lee, who gave a tour of the School age classroom.

All areas identified on the Facility Sketch were inspected. Furniture and equipment were inspected for age appropriateness and good repair in the School age program.



Facility has obtained the permission letter from the Administrative Director (Facilities Development ,Planning and Design) for Newport-Mesa Unified School district , to use the School campus, classrooms, bathrooms and the Play grounds.

Based on today's inspection facility has enough space for the requested capacity for 35 School age children in Portable 1, for children ages 4.9 to 12 years old Monday to Friday 7.00 AM to 6.00 PM.

Administrator Ms. Lee Marsha is current on the required CPR training (10/22) including the Preventative Health and Safety Nutrition and Lead Poisoning training and facility has completed the new Water testing requirement.

License shall be granted after the final approval by the management.
Report was read to the Facility Administrator and appeal rights were provided.

Notice of site visit posted.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2021
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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