313620608-4-22-2021-03-CC-KPES-C2CLJ6-20210423084726

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313620608
Report Date: 04/22/2021
Date Signed: 04/22/2021 11:55:24 AM

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
02/01/2021 and conducted by Evaluator Amanda Blesi

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210201124952

FACILITY NAME:	CATALYST KIDS - PARKER WHITNEY		FACILITY NUMBER:	313620608
ADMINISTRATOR:	COOPER, JANINE		FACILITY TYPE:	840
ADDRESS:	5145 TOPAZ AVE		TELEPHONE:	(916) 778-3092
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95677
CAPACITY:	50	CENSUS: 0	DATE:	04/22/2021
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Jessica Anaya		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Lack of supervision resulting in inappropriate interaction between day-care children
Lack of supervision resulting in day-care children engaging in an altercation causing bruises

INVESTIGATION FINDINGS:

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On 4/22/21 at approximately 11:30am, due to the COVID-19 pandemic, Licensing Program Analyst (LPA), Amanda Blesi, conducted a tele-inspection via Facetime and met with Director, Jessica Anaya, to deliver findings and conclude the complaint investigation which was opened on 2/03/21. No children were present at time of tele-visit. It was alleged there was a lack of supervision which led to inappropriate interaction between day care children. LPA investigated this allegation on 12/04/2019 during a case management tele inspection where it was determined there was adequate supervision on the playground while children were playing a game of tag. An incident occurred where child #2 tagged child #1 in the swimsuit area which upset child #1. Interviews revealed two staff were on the playground supervising six children. Staff stated they were present near the children when the incident occurred, however they had no way of knowing child #2 would tag child #1 in that manner. They spoke with the children immediately after the incident and provided pool noodles for tagging instead of using hands. The second allegation alleges a lack of supervision resulting in day-care children engaging in an altercation causing bruises. LPA conducted interviews with staff and children. (Report is continued on the following page...see LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021

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 4

Control Number 03-CC-20210201124952

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 - PARKER WHITNEY	FACILITY NUMBER: 313620608
	VISIT DATE: 04/22/2021

NARRATIVE

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It was learned the children were standing in line waiting to wash their hands. Child #1 and child #2 were rushing to be first in line. According to interviews, child #2 used their elbow to push child #1 out of the way so they could be first in line. Staff were right next to the children when the incident occurred however they were unable to anticipate child #2 would shove child #1. Due to conflicting statements provided in interviews, LPA was unable to determine if bruising had occurred. Although the allegations may or may not be valid, there is not a preponderance of evidence to support the allegations, therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted and Notice of Site Visit was provided to be posted for 30 days. Facility evaluation report was emailed to Director and an email verification of receipt of report will be used in lieu of a signature on this report.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 4

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
02/01/2021 and conducted by Evaluator Amanda Blesi

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210201124952

FACILITY NAME:	CATALYST KIDS - PARKER WHITNEY		FACILITY NUMBER:	313620608
ADMINISTRATOR:	COOPER, JANINE		FACILITY TYPE:	840
ADDRESS:	5145 TOPAZ AVE		TELEPHONE:	(916) 778-3092
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95677
CAPACITY:	50	CENSUS:	DATE:	04/22/2021
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Jessica Anaya		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Reporting Requirements: Licensee did not notify parent of unusual incidents

INVESTIGATION FINDINGS:

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Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 03-CC-20210201124952

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 - PARKER WHITNEY	FACILITY NUMBER: 313620608
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/22/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/29/2021 Section Cited CCR 101212(f)	1 2 3 4 5 6 7	Reporting Requirements:The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement was not met when facility self-reported an unusual incident to the Department on 11/24/2020 and did not notify the child’s authorized representative.	1 2 3 4 5 6 7	Director stated all staff received additional training on reporting requirements. Deficiency Cleared.
	8 9 10 11 12 13 14	This is a potential risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021

LIC9099 (FAS) - (06/04)

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