393604765-2-1-2022-53-CC-BENN-CB8UX2-20220201145736

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393604765
Report Date: 01/28/2022
Date Signed: 02/01/2022 11:02:58 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/04/2021 and conducted by Evaluator Stacey Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20211104081146

FACILITY NAME:	CATALYST KIDS - JACOBSON		FACILITY NUMBER:	393604765
ADMINISTRATOR:	MASTROPIERRO,MALISSA		FACILITY TYPE:	840
ADDRESS:	1750 KAVANAGH STREET		TELEPHONE:	(209) 832-8799
CITY:	TRACY	STATE: CA	ZIP CODE:	95376
CAPACITY:	70	CENSUS: 11	DATE:	01/28/2022
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Andiana Serrano		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Staff did not provide appropriate care and supervision to children in care
Staff did not maintain a comfortable temperature for children in care
Staff did not follow reporting procedures listed on admission agreement
Information regarding day care child was not kept confidential by facility staff

INVESTIGATION FINDINGS:

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** This is an amended report **
Licensing Program Analyst (LPA) Stacey Williams met with Facility Representative for the purpose of delivering complaint findings. LPA observed eleven children supervised by two staff.

LPA Williams conducted an investigation regarding the allegations listed above. An on site facility inspection was conducted, records and pertinent documentation to assist with the investigation was reviewed, and interviews were conducted with the reporting party, facility staff, children and parents. Staff are not allowed to have cellphones while working, per facility policy. Staff maintained that adequate supervision is met at all times which solely focuses on the needs of the children. It was revealed that staff adjust the room temperature for classrooms to accommodate the temperature outside. Classroom thermostats are set to meet regulatory standards. Staff acknowledged that childcare payment documents were kept in the facility near sign in/out sheets. Interviews were conducted regarding the facility procedures for notifying parents of child absences. It was revealed that parents are informed of the staff protocol for children entering the facility before and after-school. In addition, staff are required to notify parents if a child does not show up to the program in a timely manner. Parents are also responsible for notifying facility staff if the child will not be attending the program. Information revealed that parents are notified. Notification time may vary based on the amount of time the intake process takes any given day.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 53-CC-20211104081146

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: CATALYST KIDS - JACOBSON	FACILITY NUMBER: 393604765
	VISIT DATE: 01/28/2022

NARRATIVE

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Inconsistent statements were received from the the reporting party and individuals interviewed. Based on the information received the allegations are determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted and a Notice of Site Visit and appeal rights were provided to facility representative.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022

LIC9099 (FAS) - (06/04)

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