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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561702671
Report Date: 05/19/2022
Date Signed: 05/19/2022 01:40:53 PM

Document Has Been Signed on 05/19/2022 01:40 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CATALYST KIDS- FILLMORE MIGRANTFACILITY NUMBER:
561702671
ADMINISTRATOR:RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:514 MOUNTAIN VIEWTELEPHONE:
(805) 524-4304
CITY:FILLMORESTATE: CAZIP CODE:
93015
CAPACITY: 69TOTAL ENROLLED CHILDREN: 24CENSUS: 18DATE:
05/19/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Brenda OrozcoTIME COMPLETED:
02:35 PM
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On 5/19/2022, LPA's Dean Thompson and Susana Martinez conducted a Case Management- Other Inspection to follow up on Action Level Exceedance (ALE) reported to the Regional Office by WWD. LPAs met Master Teacher Brenda Orozco.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test. If the water testing results indicate that the facility has an ALE, an immediate response shall be required pursuant to section 101704, which may include remediation.

The Regional Office received an ALE for three different water outlets from Senior Manager of Center Compliance Fritzi Gragg. Mr.Gragg contacted LPA Michael Mathews to inform the LPA, the lab inputted the information under the incorrect facility 561702671- Catalyst Kids Fillmore Migrant.

No deficiencies were cited during todays visit.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with Master Teacher Brenda Orozco

George Mingle
Dean Thompson
DATE: 05/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2022
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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