566214985-3-8-2022-17-CC-DTHN-CCBT7L-20220308132857

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566214985
Report Date: 03/08/2022
Date Signed: 03/08/2022 01:29:01 PM

Document Has Been Signed on 03/08/2022 01:29 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 COMMUNITY PRESCHOOL		FACILITY NUMBER:	566214985
ADMINISTRATOR:	JOAN BENNETT		FACILITY TYPE:	850
ADDRESS:	241 NORTH MILL STREET		TELEPHONE:	(805) 420-7030
CITY:	SANTA PAULA	STATE: CA	ZIP CODE:	93060
CAPACITY:	60	CENSUS: 44	DATE:	03/08/2022
TYPE OF VISIT:	Case Management - COVID-19	UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Amy Freehauf		TIME COMPLETED:	01:45 PM

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	On March 8, 2022 at 11:24 AM, Licensing Program Analysts (LPA) Dean Thompson conducted an unannounced Case Management – COVID-19 inspection and met with, center assistant director Amy Freehauf. LPA informed asiistant the purpose for the inspection and completed a COVID-19 pre-screening questions prior to the commencement of the inspection. LPA was given a tour of the facility, inside and outside. This inspection is a follow-up on COVID-19 outbreaks reported by facility staff to CCL between 1/5/2022 - 1/13/2022). CCL provided a Tele - Rapid Assistance Support Team (RAST) inspection in August 2020, where LPA provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 self-assessment guide to the facility. LPA observed facility staff wearing masks inside the facility. Before entering the facility covid pre-screening questions were asked, sanitizer is available throughout the facility, safety posters were posted, . LPA was given the facility’s COVID -19 updated handbook for when a staff member or child tests positive for COVID-19. LPA discussed COVID-19 Vaccines, Testing, Face coverings, Essential Protective Equipment and Supplies, Physical Distancing, Ventilation, Isolation for Illness, Cleaning and Disinfection, Handwashing, Food Service and Meal Times, How to Respond to Exposures or Outbreaks, and Resilience Tips during the Pandemic. Continued on 809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (805) 729-8797
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022

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 COMMUNITY PRESCHOOL	FACILITY NUMBER: 566214985
	VISIT DATE: 03/08/2022

NARRATIVE

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LPA reviewed that facility maintains a current Covid-19 Child Care Program Self-Assessment Guide/Mitigation plan. LPA also provided the following resources:
- Official Public Health and Child Care Guidance for COVID-19 – Updated 1/26/2022.
- COVID-19 Child Care Resources:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/child-care-licensing/covid-19-child-care-resources

There were no deficiencies cited during today's inspection.

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 and report was reviewed with assistant director Amy Freehauf.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (805) 729-8797
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022

LIC809 (FAS) - (06/04)

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