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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343602637
Report Date: 02/14/2023
Date Signed: 02/14/2023 09:39:55 AM

Document Has Been Signed on 02/14/2023 09:39 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:CATALYST KIDS - ISABELLE JACKSONFACILITY NUMBER:
343602637
ADMINISTRATOR:ROY, MICHELLEFACILITY TYPE:
840
ADDRESS:8351 CUTLER WAYTELEPHONE:
(916) 689-5274
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 4DATE:
02/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Aileen LarocoTIME COMPLETED:
10:00 AM
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On February 14th, 2023, Licensing Program Analyst (LPA) Mandie Goodwin met with Site Supervisor Aileen Laroco to conduct an unannounced Case Management Inspection regarding an Unusual Incident Reported. LPA observed 4 children supervised by 1 adult.

On February 8th, 2023 an Unusual Incident Report was received detailing an incident that occurred on February 3rd, 2023. During the inspection LPA conducted interviews and made observations.

No deficiencies were cited in today’s visit.

This report was reviewed with Site Supervisor Aileen Laroco. LPA provided a Notice of Site Visit, which must remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2023
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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