566203005-12-13-2022-17-CC-SMAZ-CM3UXB-20221213145804

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566203005
Report Date: 12/13/2022
Date Signed: 12/13/2022 05:22:02 PM

Document Has Been Signed on 12/13/2022 05:22 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- JUANAMARIA		FACILITY NUMBER:	566203005
ADMINISTRATOR:	ROBIN O'TOOLE		FACILITY TYPE:	840
ADDRESS:	100 CROCKER AVE.		TELEPHONE:	(805) 647-7948
CITY:	VENTURA	STATE: CA	ZIP CODE:	93003
CAPACITY:	84	CENSUS: 0	DATE:	12/13/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Arianna Hernandez		TIME COMPLETED:	01:15 PM

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On December 13, 2022 at 11:45 AM Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Required- 1-year annual inspection. LPA met with site supervisor Arianna Hernandez and advised the reason of the inspection. Together LPA and supervisor toured the facility inside and outside. At the time of the inspection there were 0 children present and 5 staff. The center operates Mon-Fri from 2 PM- 6 PM.

The center uses 1 room for children in care. LPA observed carbon monoxide detectors located inside the room located outside the bathroom, LPA tested the detector and found it to be in working condition. Verification of disaster and fire drills was provided to LPA, the last drill was conducted 10/20/22. Required posting documents were observed to be posted inside the room including the daily activity schedule and monthly menu. During the tour LPA did not observe any hazardous/toxic items.

The outdoor playground is shaded and has an ample amount of space for children to play. LPA observed the playground has age-appropriate toys and structures available for children to use. No bodies of water were observed at the time of inspection.

LPA conducted personnel and children record review. LPA reviewed 5 children’s files which were all complete and current. The staff records were also found to be complete and current. LPA observed at least one staff member to be CPR/1^st Aid certified with a certification valid through 4/15/23. Staff mandated reporter certification are all current. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements.

Continued on 809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CATALYST KIDS- JUANAMARIA	FACILITY NUMBER: 566203005
	VISIT DATE: 12/13/2022

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

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/process.

Supervisor 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.

No deficiencies were cited.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, appeal rights were given, and report was reviewed with site supervisor Arianna Hernandez.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022

LIC809 (FAS) - (06/04)

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