343601803-1-30-2025-03-CC-LPEZ-DDEVM3-20250130153252

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343601803
Report Date: 01/30/2025
Date Signed: 01/30/2025 03:32:59 PM

Document Has Been Signed on 01/30/2025 03:32 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	CATALYST KIDS - NORTH COUNTRY		FACILITY NUMBER:	343601803
ADMINISTRATOR/ DIRECTOR:	KRYSTLE MITCHELL		FACILITY TYPE:	850
ADDRESS:	3901 LITTLE ROCK DRIVE		TELEPHONE:	(916) 332-5185
CITY:	ANTELOPE	STATE: CA	ZIP CODE:	95843
CAPACITY: 72	TOTAL ENROLLED CHILDREN: 72	CENSUS:	DATE:	01/30/2025
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:00 PM
MET WITH:	Lizet Hernandez		TIME VISIT/ INSPECTION COMPLETED:	03:45 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 01/30/2025, Licensing Program Analysts (LPA) Loraine Perez and Josiah Gathing met with Facility Representative Lizet Hernandez for the purpose of an unannounced capacity decrease case management inspection. This is an application requesting for a capacity decrease from 72 preschool age children to 48 preschool age children, ages 2 to 5 years. The facility's hours of operation are Monday through Friday from 6:30 AM to 6:00 PM. The fire clearance was granted on 11/22/2024. LPA conducted a health and safety inspection in all areas accessible to preschool children. There are three existing preschool classrooms: portable rooms 2,3,and 4. The licensee is removing one preschool classroom: Portable room 3. The new Portable room 2 contains a total square footage of 529.16. The total classroom space contains a total of 1231.25 square feet, which will not accommodate the requested capacity of 48 children. There are 5 toilets and 5 sinks available to children, and a separate staff restroom is available. Children who become ill during the day will be isolated in the office and will use the staff restroom, if necessary. There is one outdoor area on the property designated for preschool and infant children. The outdoor play area is fenced with a chain link fence that is at least four feet tall. There is a play structure with a safety label and age rating for children ages 2 years to 5 years. Facility Representative was reminded to follow the safety label and adhere to the age rating. LPA observed sufficient amount of equipment and toys. There are shaded areas supplied by trees and sun shade sails in the play yard.

Amanda Blesi	TELEPHONE: (916) 263-5721
Loraine Perez	TELEPHONE: (916) 263-5744
	DATE: 01/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025

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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CATALYST KIDS - NORTH COUNTRY	FACILITY NUMBER: 343601803
	VISIT DATE: 01/30/2025

NARRATIVE

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The outdoor preschool yard contains a total of 3069.06 square feet, which will not accommodate the Licensee's request for 48 preschool children. Licensee request for an insufficient outdoor space waiver to utilize a rotating schedule where no more than 40 preschool children will use the outdoor space at one time will be required.

Due to insufficient square footage the requested capacity change was not approved upon inspection. An updated application and fire clearance will be required prior to a capacity change approval.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the Facility Representative Lizet Hernandez.

SUPERVISOR'S NAME: Amanda Blesi	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Loraine Perez	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025

LIC809 (FAS) - (06/04)

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