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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313620608
Report Date: 12/04/2020
Date Signed: 12/04/2020 11:56:56 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 - PARKER WHITNEYFACILITY NUMBER:
313620608
ADMINISTRATOR:ANAYA, JESSICAFACILITY TYPE:
840
ADDRESS:5145 TOPAZ AVETELEPHONE:
(916) 778-3092
CITY:ROCKLINSTATE: CAZIP CODE:
95677
CAPACITY:50CENSUS: 14DATE:
12/04/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Jessica Anaya, direcotorTIME COMPLETED:
11:45 AM
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On Friday, 12/04/2020 at 11:30am, Licensing Program Analyst (LPA) Amanda Blesi met with Center Manager, Jessica Anaya, to conduct a case management inspection regarding a self reported incident received by the department on 11/24/2020. A tele-inspection was conducted due to COVID-19. A census was taken which included 14 school age children supervised by 2 staff.

LPA interviewed assistant director, Vanna Le, teacher Ms. Natalie, Center Manager, Jessica Anaya, and parent of child #1 who stated on November 23, 2020 at around 1:30pm, a group of 6 school age children were playing a game of hide and seek tag on the playground. The group of children were supervised by 2 staff. Shortly after the game began, Child #1 informed teacher Natalie that another child had touched them inappropriately while being tagged. Teacher Natalie pulled the two children aside to discuss the incident. It was determined Child #1 had been tagged "in the swimsuit area" by child #2. The teacher then talked to the whole group to remind them to keep their hands to themselves and be respectful of other's personal space and provided pool noodles to use for tagging instead of using hands.



LPA has investigated this incident and determined there are no deficiencies being cited today.

This report was reviewed with the Site Supervisor and will be sent electronically via e-mail along with Notice of Site Visit. Acknowledgement of receipt of reports will be documented, in lieu of signature. Notice of Site Visit shall be posted for 30 days.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2020
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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