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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621948
Report Date: 11/01/2024
Date Signed: 11/01/2024 01:38:04 PM

Document Has Been Signed on 11/01/2024 01:38 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CATALYST KIDS - ZEHNDER RANCHFACILITY NUMBER:
343621948
ADMINISTRATOR/
DIRECTOR:		MCCLELLAND, LISAFACILITY TYPE:
840
ADDRESS:9880 DENALI CIRCLETELEPHONE:
(916) 286-7865
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY: 70TOTAL ENROLLED CHILDREN: 38CENSUS: 16DATE:
11/01/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Lisa McClellandTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Corina Beckby met with Program Lead, Lisa McClelland to follow up on the Unusual Incident Report (UIR) submitted to Community Care Licensing on 10/07/24.

The center self-reported that on 09/30/24, a child was tapped on the head with a spongy ball by Staff#1 as a form of discipline. LPA conducted interviews with staff and children. The information obtained corroborated the incident as reported to the Department. Staff#1 no longer works for Catalyst Kids.

A Type B deficiency was cited on the subsequent page (809-D) of this report.

Facility evaluation report was reviewed and discussed with licensee. 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.

Bettina EngelmanTELEPHONE: (916) 263-5820
Corina BeckbyTELEPHONE: (916) 263-5744
DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2024
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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Document Has Been Signed on 11/01/2024 01:38 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 RANCH
FACILITY NUMBER: 343621948

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/02/2024
Section Cited
CCR
101223(a)(3)

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The licensee shall ensure that each child is accorded the following personal rights: …To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature… This requirement was not met as evidenced by:
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Director will conduct training with staff regarding Personal Rights, watch dept video on PR and have staff sign statement saying they
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Based on interview, the facility did not comply with the section cited above, in that a staff member intentionally tapped a child with a spongy ball on the head, which poses a potential health, safety or personal rights risk to persons in care.
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understand, respect and honor children’s PR.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Corina BeckbyTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:
DATE: 11/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/01/2024
LIC809 (FAS) - (06/04)
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