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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215672
Report Date: 05/31/2024
Date Signed: 05/31/2024 11:07:35 AM


Document Has Been Signed on 05/31/2024 11:07 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:CATALYST KIDS- DEL MARFACILITY NUMBER:
566215672
ADMINISTRATOR:RACHEL CHAMPAGNEFACILITY TYPE:
850
ADDRESS:3150 THAMES RIVER DR.TELEPHONE:
(805) 485-0560
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:48CENSUS: 18DATE:
05/31/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Faviola AmbrizTIME COMPLETED:
10:45 AM
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On May 31 2024 at 9:20 AM, Licensing Program Analysts (LPAs) Aaliyah Zendejas and David Roman conducted an unannounced Annual/Random Inspection at the above mentioned Child Care Center (CCC). LPAs met with Faviola Ambriz (S1), staff member at the CCC and explained the purpose of the inspection. S1 stated that the site supervisor was not present today, but that they can assist LPAs for the day. LPA checked designation of responsibility and found the correct form completed for S1. LPAs toured the interior and exterior of the CCC with S1.

LPA observed required licensing documents mounted on the walls throughout the facility. Last fire drill was conducted on 4/30/2024. The classroom has age-appropriate toys and furniture readily accessible for children in care. LPAs observed enough restrooms available for children to use. LPA did not observe any hazards/toxins items accessible to children. A first aid kit was observed within the facility in a locked cabinet. 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. LPA asked to see the sign in and sign out sheets for children in care, and S1 showed that they did it online on a website called hubbe. LPA checked to make sure that all children were accounted for which they were.

A sampling of children and staff records were reviewed. LPA observed children's files to be complete and current. Currently the facility has 2 children that require Incidental Medical services (IMS). LPA observed medications stored out of reach from children with correct paperwork completed in locked storage cabinet. LPA observed staff files to be complete and current. CPR current with an expiration date of April 22, 2025. Staff mandated reporter certification are all current and placed within the file.

Con'd on 809-C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Aaliyah ZendejasTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CATALYST KIDS- DEL MAR
FACILITY NUMBER: 566215672
VISIT DATE: 05/31/2024
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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.


Director 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 lead teacher, Faviola Ambriz.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Aaliyah ZendejasTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
LIC809 (FAS) - (06/04)
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