334813280-6-27-2024-09-CC-SBRR-D6MV9T-20240627161452

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334813280
Report Date: 06/27/2024
Date Signed: 06/27/2024 04:15:02 PM

Document Has Been Signed on 06/27/2024 04:15 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	CATALYST KIDS - JOHN F. KENNEDY		FACILITY NUMBER:	334813280
ADMINISTRATOR:	AMANDA ROSSI		FACILITY TYPE:	840
ADDRESS:	19125 SCHOOL HOUSE LANE		TELEPHONE:	(951) 780-1083
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92508
CAPACITY:	35	CENSUS: 20	DATE:	06/27/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Amanda Rossi, Program Lead		TIME COMPLETED:	03:10 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 06/27/2024 at 12:45 PM Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility to conduct a 1 year required annual inspection. LPA was granted entry by Program Lead Amanda Rossi. LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following: Normal days/hours of operation: Mon-Fri Morning Session 6:30 AM – 7:50 AM; Afternoon Session M/T/Th/F 2:35 PM - 6:00 PM; Wed 1:20 PM – 6:00 PM in room 1. Outdoor Activity West Blacktop area. Summer schedule: Mon-Fri, 6:30 AM to 6:00 PM; Staff on site from 6:30 AM to 6:00 PM daily. The inspection consisted of reviews of the following domains: Food Service; Reporting Requirements Physical Plant; Care and Supervision; Children Records; Staff Records; Staffing Ratio and Capacity and Personal Rights. The inspection found the facility to be in compliance in these domains. The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days if changes have been made. LIC 500 Personnel Report 1. LIC 610 Emergency & Disaster Plan. 2. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made) 3. LIC 309 Administrative Organization 4. LIC 308 Designation of Administrative Responsibility 5. LIC 200A Application for changes in hours of operation The following items have been posted and are updated where necessary: - License, Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148) - Parent’s Rights Poster (PUB393), Personal Rights (LIC613A); Child Car Seat Law, Menu

SUPERVISOR'S NAME: Ana Noble	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CATALYST KIDS - JOHN F. KENNEDY	FACILITY NUMBER: 334813280
	VISIT DATE: 06/27/2024

NARRATIVE

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· The facility is operating within the terms of the license
· Facility is clean, safe and sanitary and in good repair.
· Ratios were met during this inspection. LPA took a census of 20 children supervised by 6 staff.
· A fully charged fire extinguisher (2A:10BC) was observed with needle in the green. A smoke detector and carbon monoxide detector were present and tested by the Licensee during this inspection.
· Appropriate supervision was provided during this inspection.
· Classrooms are equipped with age-appropriate furniture and equipment in good condition.
· Classrooms are clean and free of hazards.
· All materials and surface accessible to children are toxic free.
· No weapons stored at the facility on 06/27/2024.
· There are no bodies of water present on 06/27/2024. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Medications are stored where inaccessible to children and located in the kitchen cabinet. No children are allowed in the kitchen and do not have access to enter.
· Center is equipped to isolate and care for any child who becomes ill during the day.
· Hazards are stored where inaccessible to children which include: disinfectants, cleaning solutions and other items that are dangerous to children
· All floors shall be clean and safe.
· Measures are taken to keep the facility free of flies, other insects and rodents.
· Toxins are key locked in a storage room.
· Bathrooms were observed to be safe, sanitary and in operating condition.
· Playgrounds are enclosed by appropriate fences and free of hazards. LPA discussed the beginning cracks in the blacktop located outdoors.
· Outdoor activity areas are supplied with age and size appropriate equipment in good condition.
· Food preparation area is clean and free of vermin.
· Food is stored appropriately and protected from contamination.
· All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair.
· Uncontaminated drinking water shall be readily available both indoors and out and is provided by tap water, bottled water, disposable cups and individual cups.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall by wood chips and natural grass.

SUPERVISOR'S NAME: Ana Noble	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CATALYST KIDS - JOHN F. KENNEDY	FACILITY NUMBER: 334813280
	VISIT DATE: 06/27/2024

NARRATIVE

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· Menus shall be posted at least one week in advance in a place visible by the child’s authorized representative, dated and kept on file for 30 days, and made available upon request.
· Sign in/Sign out record was reviewed and meets regulation requirements. The facility uses an electronic sign in for parents and has plan for back up.
· A Staff member is present with current Pediatric CPR/First Aid which expires on 06/2025
· Opening and closing staff member’s CPR/First Aid expires on 06/09/2025.
· Program Lead completed Health and Safety Training on 12/17/2012, nutrition 05/06/2021
· Staff qualifications and files were reviewed and complete on 06/27/204
· Staff received on the job training for housekeeping, sanitation and universal health precautions.
· Each child’s file is complete on 06/27/2024.
· Licensee was informed of the Department has inspection authority per Health and Safety Codes
· Documentation of Lead Testing is on file: Completed on 05/18/2023 no lead exceedances.
· A review of staff records on 06/27/2024 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
The program Lead Amanda Rossi, was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov

This facility provides Incidental Medical Services – IMS. LPA Susan Brewer, reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

For FCCHs: Incidental Medical Services (IMS) policy was discussed.
The program Lead Amanda Rossi, was reminded that all adults 18 and over living or working in the facility, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISOR'S NAME: Ana Noble	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CATALYST KIDS - JOHN F. KENNEDY	FACILITY NUMBER: 334813280
	VISIT DATE: 06/27/2024

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The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov for Riverside Regional Office.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Deficiencies not cited this visit.

Civil Penalties not issued this visit

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the program Lead Amanda Rossi

SUPERVISOR'S NAME: Ana Noble	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024

LIC809 (FAS) - (06/04)

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