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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434410779
Report Date: 07/13/2022
Date Signed: 07/13/2022 03:03:34 PM


Document Has Been Signed on 07/13/2022 03:03 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
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:
07/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Carrie SmithTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Janette Cruz met with Carrie Smith, Director, for an unannounced Required- 1 Year inspection. LPA toured the indoor and outdoor areas of the facility during today's inspection. LPA observed no preschool children and no staff present aside from Director in classroom, Portable 1. Director stated that there has not been enrollment on the preschool program for the past three years. The facility is located inside Los Alamitos Elementary campus and has both preschool and school-age components.

LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule.

LPA observed that the Facility is clean, safe, sanitary, and in good repair for children, staff, and visitors. Director understands that the facility must be kept free of insects & rodents. LPA observed that all furniture and equipment are in good condition and safe for the children. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. LPA observed age-appropriate sinks and toilets (3 sinks and 3 toilets) available for the preschool children. Drinking water is readily available for the children in the Facility via water dispensers. Staff and children's bathrooms are clean, sanitary, and in working order. There is a separate staff restroom located on the elementary campus which an isolated child can use if needed. Director understands that children who exhibit symptoms of illness including, but not limited to, fever or vomiting, are not accepted in care. Any children who become ill during the day, shall be isolated in the facility's office. Director states that there are no weapons or firearms on the premises. The Facility has functioning carbon monoxide detectors indoors. Disinfectants, cleaning solutions, medication and other hazardous items that pose a risk to children, were in locked cabinets inaccessible to the children in care.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Janette CruzTELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 ALAMITOS
FACILITY NUMBER: 434410779
VISIT DATE: 07/13/2022
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LPA reviewed one staff file. LPA reviewed current certificate of completion of the Mandated Reporter Training for Child Care Workers of staff . Staff present have current CPR and First Aid certification on file. Director understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during outdoor activities.

The food preparation and storage areas are clean, free of litter & rubbish, free of rodents and other vermin. All food and beverages that require refrigeration are stored in covered containers at 45 degrees F or less. There is also a hot and cold running water, refrigerator and microwave on the premises. The Facility has trash cans with tight fitting lids for solid waste in the classroom. LPA observed a complete First Aid kit, including touch less thermometer, in the Facility.



Outdoor area and equipment were inspected for safety, cushioning material, good repair and appropriateness. Required shade, drinking water and fencing were inspected. LPA advised Director that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to drinking water during outside play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Janette CruzTELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2022
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 ALAMITOS
FACILITY NUMBER: 434410779
VISIT DATE: 07/13/2022
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process


Exit interview conducted and report was reviewed with Director, Carrie Smith. No deficiency was cited during today's inspection.


A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Janette CruzTELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2022
LIC809 (FAS) - (06/04)
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