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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 570310386
Report Date: 12/17/2021
Date Signed: 12/17/2021 11:57:40 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:CATALYST KIDS - CESAR CHAVEZFACILITY NUMBER:
570310386
ADMINISTRATOR:MONROE, MARY ALLISONFACILITY TYPE:
840
ADDRESS:1221 ANDERSON ROADTELEPHONE:
(530) 753-3808
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY:124CENSUS: 12DATE:
12/17/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Angeline TabayTIME COMPLETED:
12:00 PM
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On 12/17/21 Licensing Program Analyst (LPA) Christopher Jackson met with Senior Program Director Angeline Tabay, Program Director Patricia Rodriguez and Interim Assistant Site Supervisor Savannah Rodriguez for an announced case management inspection. The facility was temporarily located to the school multi-purpose room and has moved back into the previous licensed classroom on the grounds of Cesar Chavez Elementary. Licensee is not making any changes to the capacity. The facility operates Monday through Friday from 7:00 a.m. to 6:00 p.m.

A health and safety inspection was conducted in all areas accessible to children. The program will utilize the portable school-age classroom building Rooms #1 and #2. In addition the program has access to the mutli-purpose room located on the school grounds. No measurements were taken during today's inspection, since the room has been previously licensed. There are two restrooms located in the classroom. In addition the facility has access to restrooms on the campus grounds. LPA discussed 100% supervision when children are utilizing campus restrooms. LPA observed the kitchen area is being remodeled. Staff said that bookshelves will be used to prevent the children from accessing the area. Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary. Children will utilize the play area located to the south of the portable classroom. LPA discussed 100% supervision while transitioning to the play area.

This facility provides Incidental Medical Services – IMS. 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.

Report Continues on 809-C
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) 926-0269
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: CATALYST KIDS - CESAR CHAVEZ
FACILITY NUMBER: 570310386
VISIT DATE: 12/17/2021
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This facility evaluation report was reviewed and discussed with Senior Program Director. Senior Program Director was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

Effective today, 12/17/2021, LPA will approve the classroom change for the school-age license.
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) 926-0269
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
LIC809 (FAS) - (06/04)
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