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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 561712033
Report Date: 04/26/2021
Date Signed: 04/26/2021 01:57:50 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/28/2021 and conducted by Evaluator Laura Villanueva
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20210128131312
FACILITY NAME:CATALYST KIDS- SOUTH OXNARDFACILITY NUMBER:
561712033
ADMINISTRATOR:RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:200 E. BARD RD.TELEPHONE:
(805) 488-2214
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:148CENSUS: 78DATE:
04/26/2021
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Amber WilliamsTIME COMPLETED:
01:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility has rats.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April1 26, 2021 at 1:00 PM, Licensing Program Analyst (LPA) Laura Villanueva conducted an unannounced tele-inspection to conclude a complaint investigation. LPA met with Center Director, Amber Williams and explained the nature and purpose of the inspection. Due to COVID-19 and the Department of Public Health guidelines, a tele-inspection was completed via Facetime. Director provided LPA a tour of the facility inside and outside.

On 1/13/2021, 2/10/2021, 2/18/202, 3/25/2021, Center Director sent email to facility maintenance advising that rats were observed and needed traps. Rat traps were placed at the locations the rodents were observed. Based on LPA's inteview with Center Director and record review of work orders, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/28/2021 and conducted by Evaluator Laura Villanueva
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20210128131312

FACILITY NAME:CATALYST KIDS- SOUTH OXNARDFACILITY NUMBER:
561712033
ADMINISTRATOR:RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:200 E. BARD RD.TELEPHONE:
(805) 488-2214
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:148CENSUS: DATE:
04/26/2021
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Amber WilliamsTIME COMPLETED:
01:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facilty is dirty.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 This is an amended report
On April 26, 2021 at 3:00 PM, Licensing Program Analyst (LPA) Laura Villanueva conducted an unannounced tele-inspection to conclude a complaint investigation. LPA met with Director, Amber Williams and explained the nature and purpose of the inspection. Due to COVID-19 and the Department of Public Health guidelines, a tele-inspection was completed via Facetime. Director provided LPA a tour of the facility inside and out.

LPA’s findings were based on observations, interview with Director, and cleaning service invoice review. The facility is cleaned and toilet paper is stocked on a daily basis. LPA observed the center to be clean and toilet paper was in all the restrooms. All restrooms were toured. Toilet paper was observed by each toilet and they were clean. A supply closet is available to all staff with extra janitorial supplies. The facility is cleaned throughout the day with Oxivir TB. A closing interview was conducted with Director. Director was provided and advised of her right to appeal. A copy of this report was reviewed and provided to the Director via email.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 17-CC-20210128131312
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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- SOUTH OXNARD
FACILITY NUMBER: 561712033
VISIT DATE: 04/26/2021
NARRATIVE
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7
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9
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32
l. The delivered receipt confirmation from email will be in lieu of her signature once she received the report. LPA requested a signed copy be provided to Community Care Licensing.

"Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED."“Exit interview was conducted with Center Director via tele-inspection, during which the report and appeal rights were explained. This report along with a copy of the appeal rights will be sent to Center Director via email with a read receipt or confirmation of receipt of email, which will act as the signature.”
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 17-CC-20210128131312
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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- SOUTH OXNARD
FACILITY NUMBER: 561712033
VISIT DATE: 04/26/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
A closing interview was conducted with Director, Amber Williams. Director was provided and advised of her right to appeal. A copy of this report was reviewed and provided to the Director via email. The delivered receipt confirmation from email will be in lieu of her signature once she received the report. LPA requested a signed copy be provided to Community Care Licensing.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4