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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313620610
Report Date: 11/09/2021
Date Signed: 11/09/2021 01:15:07 PM

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 - SIERRAFACILITY NUMBER:
313620610
ADMINISTRATOR:TUCKER, SUSANFACILITY TYPE:
840
ADDRESS:6811 CAMBORNE WAYTELEPHONE:
(916) 788-7141
CITY:ROCKLINSTATE: CAZIP CODE:
95677
CAPACITY:60CENSUS: 0DATE:
11/09/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Susan TuckerTIME COMPLETED:
01:30 PM
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On November 9, 2021 at 1:00 PM, Licensing Program Manager Keven Peters and Licensing Program Analyst Amanda Blesi conducted a scheduled informal meeting with Director, Susan Tucker, Program Compliance Manager, Janis Adkins, and Vice President of Center Operations, Elizabeth Philips.

The reason for this informal meeting is to discuss a recent Type A violation for lack of supervision which was cited on 09/17/2021. LPM defined the difference between Non-Compliance and an Informal meeting. LPM advised that the purpose of today's meeting is to help the facility gain compliance.

On 08/18/2021, Community Care Licensing office received a complaint alleging staff do not provide adequate supervision to children in care. During the investigation LPA has learned that some children in care were touched in the private parts and some witnessed children exposing their privates while in care at Catalyst Kids - Sierra. Staff were unaware the children were engaging in this behavior.

Susan Tucker stated the following steps are taken to correct the citation:
- they have altered the restroom use to include smaller groups, students go in one at a time, students no longer use urinals and they will use the stall closest to the door for supervision.
-they have supervision modules staff utilize for training purposes.

During today's meeting, LPA suggested that licensee review the Department web site www.ccld.ca.gov for updated regulations and important information regarding licensing. LPM suggested that Licensee can view information videos at www.ccld.childcarevideos.org.

Exit interview with Susan Tucker
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
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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