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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393607697
Report Date: 09/18/2024
Date Signed: 09/18/2024 01:33:50 PM

Document Has Been Signed on 09/18/2024 01:33 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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CATALYST KIDS - SOUTH SCHOOLFACILITY NUMBER:
393607697
ADMINISTRATOR/
DIRECTOR:		RHOADES, MARTIFACILITY TYPE:
840
ADDRESS:500 WEST MOUNT DIABLOTELEPHONE:
(209) 834-1725
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY: 70TOTAL ENROLLED CHILDREN: 56CENSUS: 0DATE:
09/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:34 PM
MET WITH:Marti Rhoades TIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On September 18, 2024, Licensing Program Analyst (LPA) Stacey Williams conducted a case management inspection and met with Site Supervisor, Marti Rhoades. There were no children present at the time of the inspection.

LPA discussed an incident report that was submitted to Community Care Licensing on August 29, 2024 with the Site Supervisor and gathered additional information regarding the incident. Staff that was present during the incident was also interviewed during the visit.

Exit interview conducted and report was reviewed with Site Supervisor, Marti Rhoades. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE: DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
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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