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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434410779
Report Date: 06/29/2021
Date Signed: 06/29/2021 04:52:19 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:CATALYST KIDS - LOS ALAMITOSFACILITY NUMBER:
434410779
ADMINISTRATOR:CARRIE SMITHFACILITY TYPE:
850
ADDRESS:6130 SILBERMAN DRIVETELEPHONE:
(408) 268-6331
CITY:SAN JOSESTATE: CAZIP CODE:
95120
CAPACITY:24CENSUS: 0DATE:
06/29/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Smith, CarrieTIME COMPLETED:
05:00 PM
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An unannounced Annual Random Inspection was conducted on this day by Licensing Program Analyst (LPA) Almaraz, Celi. Facility is currently licensed for a capacity of 24. Licensing staff met with Director Smith, Carrie. The program operates 9AM to 12PM, Monday thru Friday. Licensing staff unable to betaken on a guided tour of the facility, indoors nor outdoors. At the initial start of this visit, there was a total census of zero children and no staff present. There is currently construction initiated by the School District (facility is on San Jose Unified School District campus). Due to construction LPA was unable to physically inspect facility, as construction prevents any such access to the site. This site has two components, (school age 430709504) and preschool. The facility is currently unable to enroll any preschool children due to construction, LPA notified Regional Manager (RM) Studebaker, Tony of the situation. LPA has instructed facility to contact Licensing once construction is complete and a subsequent inspection will be done.

There were no deficiencies cited during today's visit in accordance to with California Code of Regulations Title 22, Division 12, Chapter 1; Exit interview and copy of report was given.

NOTICE ISSUED OF SITE VISIT ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Araceli AlmarazTELEPHONE: (408) 334-8551
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
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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