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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621948
Report Date: 10/24/2024
Date Signed: 10/24/2024 09:53:39 AM


Document Has Been Signed on 10/24/2024 09:53 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:CATALYST KIDS - ZEHNDER RANCHFACILITY NUMBER:
343621948
ADMINISTRATOR:MCCLELLAND, LISAFACILITY TYPE:
840
ADDRESS:9880 DENALI CIRCLETELEPHONE:
(916) 286-7865
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY:70CENSUS: 11DATE:
10/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Lisa McClellandTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Corina Beckby met with Program Lead, Lisa McClelland to follow up on the Unusual Incident Reports (UIR) submitted to Community Care Licensing on 10/07/24.

LPA toured the facility, observed the care and supervision of children, and conducted interviews.

Facility evaluation report was reviewed and discussed with Program Lead. Exit interview was conducted. A Notice of Site Visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during today's inspection.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Corina BeckbyTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2024
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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