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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
343608111
Report Date:
08/07/2024
Date Signed:
08/07/2024 10:12:18 AM
Document Has Been Signed on
08/07/2024 10:12 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
SACRAMENTO CC RO
,
9835 GOETHE ROAD, SUITE 100
SACRAMENTO
,
CA
95827
FACILITY NAME:
CATALYST KIDS - ROBERT J. FITE
FACILITY NUMBER:
343608111
ADMINISTRATOR:
ESPARZA, DIANNA
FACILITY TYPE:
840
ADDRESS:
9561 FITE SCHOOL RD.
TELEPHONE:
(916) 688-3310
CITY:
SACRAMENTO
STATE:
CA
ZIP CODE:
95829
CAPACITY:
100
CENSUS:
2
DATE:
08/07/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
08:30 AM
MET WITH:
Bobbie Sumpter
TIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 8:30am met with the Director Bobbie Sumpter for an unannounced Case Management inspection. Today’s inspection regarded an observation made by the Department on 8/5/2024. LPA was notified that facility did not notify Department of playground construction. Facility provided proof that they notified the Department on 7/31/24.
No Title 22 Deficiencies
observed in the areas that were evaluated. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with
Director
[or facility representative] Bobbie Sumpter.
SUPERVISOR'S NAME:
Amanda Blesi
TELEPHONE:
(916) 208-3427
LICENSING EVALUATOR NAME:
Christopher Bello
TELEPHONE:
(916) 862-0844
LICENSING EVALUATOR SIGNATURE:
DATE:
08/07/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/07/2024
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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