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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313620610
Report Date: 09/17/2021
Date Signed: 09/17/2021 01:30:39 PM



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
08/18/2021 and conducted by Evaluator Amanda Blesi
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210818091618
FACILITY NAME:CATALYST KIDS - SIERRAFACILITY NUMBER:
313620610
ADMINISTRATOR:FARREN, JUNEFACILITY TYPE:
840
ADDRESS:6811 CAMBORNE WAYTELEPHONE:
(916) 788-7141
CITY:ROCKLINSTATE: CAZIP CODE:
95677
CAPACITY:60CENSUS: 0DATE:
09/17/2021
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Susan Tucker, DirectorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Lack of supervision resulting in inappropriate interactions between children in care.
INVESTIGATION FINDINGS:
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LPA Amanda Blesi met with Director Susan Tucker to deliver the complaint findings. A COVID-19 risk assessment was conducted by phone prior to entering the facility. During the investigation LPA interviewed day care children, Reporting Party and staff. During the interviews some children disclosed being touched in the private parts by another child and some children witnessed children exposing their privates to other children. Based on the information obtained during this investigation the above allegation is substantiated. As a result, a Type A Deficiency is cited today. Deficiencies are noted on the following page. LIC9099-D.

Licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC9213 Notice of Site Visit is required to be posted for 30 days.
Appeal Rights were provided and an exit interview was conducted with Susan Tucker.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2021
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 2
Control Number 03-CC-20210818091618
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 - SIERRA
FACILITY NUMBER: 313620610
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
09/20/2021
Section Cited
CCR
101229(a)
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Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs.
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Director states they have limited the chidlren in the bathroom to 1-2 kids and use stalls for privacy and also use stalls closest to the door so teachers can view the stalls from outside. They are also grouping children into smaller groups while inside based on age. In addition they held a staff meeting to discuss supervision on 8/16 and will hold an additional staff meeting on Monday. Director shall submit a written plan of supervision to LPA by POC date of 9/20.
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This requirement was not met as evidenced by: children disclosed they were touched in the private parts and/or witnessed other children showing their private parts while under the care of Catalyst Kids. This is an immediate risk to the health and safety of children in care.
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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 PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2