<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215433
Report Date: 02/17/2022
Date Signed: 02/17/2022 02:08:17 PM


Document Has Been Signed on 02/17/2022 02:08 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:
566215433
ADMINISTRATOR:ADRIANA MARTINEZFACILITY TYPE:
840
ADDRESS:514 MOUNTAIN VIEWTELEPHONE:
(805) 524-4305
CITY:FILLMORESTATE: CAZIP CODE:
93015
CAPACITY:35CENSUS: 6DATE:
02/17/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jasmine LopezTIME COMPLETED:
12:30 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 February 17, 2022 at 12:00PM, Licensing Program Analyst (LPA) Betzayra Cervantes conducted an unannounced Case Management – COVID-19 inspection and met with Center Manager, Jasmine Lopez and Master Teacher Brenda Orozco. LPA informed the purpose for the inspection and completed a COVID-19 pre-screening questions prior to the commencement of the inspection. Facility Representative gave LPA a tour of the facility, inside and outside. LPA observed a total of 6 children under the care and supervision of 3 teachers. The center currently operates year-round from 2:00PM - 5:30PM, hours varying based on the School District calendar.

This inspection is a follow-up on COVID-19 outbreaks reported by Center Manager to CCL between 1/14/2022 - 1/31/2022. CCL provided a Tele - Rapid Assistance Support Team (RAST) inspection on 6/16/2020 where LPA provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 self-assessment guide to the facility. LPA observed facility staff and all children wearing face coverings upon arrival to the facility. LPA also observed postings throughout the facility promoting best practices to mitigate the spread of COVID-19. During file review, LPA observed written communication given to parents outlining COVID-19 protocols that include face coverings, screening practices, and reporting requirements. LPA observed extra face masks available in the facility for children in care.

LPA discussed facility’s written plan for when a staff member or child tests positive for COVID-19 and developing a written communication plan with parents/guardians to share information and guidelines in their preferred language. 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 MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra CervantesTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:
DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/17/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


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- FILLMORE MIGRANT
FACILITY NUMBER: 566215433
VISIT DATE: 02/17/2022
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
LPA reviewed the facility's 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 facility representative, Center Manager, Jasmine Lopez and Master Teacher Brenda Orozco.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra CervantesTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2