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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561702676
Report Date: 05/09/2023
Date Signed: 05/09/2023 10:56:56 AM


Document Has Been Signed on 05/09/2023 10:56 AM - 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- LA ESCUELITAFACILITY NUMBER:
561702676
ADMINISTRATOR:RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:1500 CAMINO DEL SOLTELEPHONE:
(805) 483-0139
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:98CENSUS: 43DATE:
05/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Teresa MartinezTIME COMPLETED:
11:13 AM
NARRATIVE
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On May 9, 2023 at 9:30 AM, Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Case Management- Incident inspection. LPA met with Site Director Teresa Martinez and advised her the purpose of the inspection. LPA was provided with a tour of the facility inside and outside. At the time of inspection there were 43 children present along with 9 fingerprint cleared adults.

On 4/25/2023, Site Supervisor Teresa Martinez contacted Community Care Licensing (CCL) to self-report an incident involving a child (C1) who was left alone outside. Child was reportedly crying and left unattended for about 7 minutes. Child was found alone by a neighboring facility (CDR-Colonia).

LPA Martinez reviewed the Catalyst Kids Daily Staff- Child Ratio Counts log for the week of 04/24/2023- 04/28/2023. LPA was not able to confirm that the children were accounted for on Tuesday April 25th. LPA asked site Director how she can prove children were accounted for on 4/25/23 by looking at the log, Director stated "you can't by looking at the log". Director states teachers highlight the children's names upon arrival and upon pick-up the child's name is crossed off, if a child is absent an "X" is placed next to the child's name. Site Director states all staff received Supervision Training, reviewed and signed the Supervision and Responsibilities Policy from Catalyst Kids and are conducting name-to-face count when transitioning. LPA obtained a copy of the Training Sign-In Sheet along with Health & Safety Facilitation Notes for Staff Meetings.

Director admits C1 was left unaccounted for and without supervision of a teacher for a period of over 5 minutes. LPA determined that the incident was true and did occur. Given the facility's account of the incident when reporting it to CCL and how they addressed the incident, LPA deemed the facility's actions were appropriate.


Continued on 809-C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2023
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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Document Has Been Signed on 05/09/2023 10:56 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117


FACILITY NAME: CATALYST KIDS- LA ESCUELITA
FACILITY NUMBER: 561702676

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/16/2023
Section Cited

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101229 Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the children’s needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, … Supervision shall include visual observation. This requirement is not met as evidence by:
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Director will submit a written plan of correction stating measures to be taken in order to be in compliance with Title 22 Regulations and avoid any Supervision violations by 5/16/2023 via fax (805) 685-1820, mail or email to
susana.martinez@dss.ca.gov
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The center admitted to leaving a child (C1) unaccounted for and unattended for approximately 7 minutes causing the child distress. This poses as a potential Health and Safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2023
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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CATALYST KIDS- LA ESCUELITA
FACILITY NUMBER: 561702676
VISIT DATE: 05/09/2023
NARRATIVE
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The following CCR, Title 22, Division 12 regulation was discussed: 101229(a)(1) Responsibility for Providing Care and Supervision

A Type B deficiency was cited during today's inspection. Deficiency can be found on the attached 809-D.

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. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Site Director Teresa Martinez.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC809 (FAS) - (06/04)
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