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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000524
Report Date: 08/06/2026
Date Signed: 08/06/2026 04:14:49 PM

Document Has Been Signed on 08/06/2026 04:14 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MISTONE, CATHERINE FAMILY DAY CAREFACILITY NUMBER:
198000524
ADMINISTRATOR/
DIRECTOR:		MISTONE, CATHERINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 733-7108
CITY:LA VERNESTATE: CAZIP CODE:
91750
CAPACITY: 12TOTAL ENROLLED CHILDREN: 11CENSUS: 11DATE:
08/06/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:20 PM
MET WITH:Licensee, Catherine MistoneTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On 08/06/2026 at 12:20 p.m., Licensing Program Analyst (LPA) Diana Ortiz conducted an unannounced annual random inspection at the above facility. LPA was greeted by Licensees Assistant, Adrianna Jauregui, and explained the purpose of the visit. At approximately 12:28pm Licensee, Catherine Mistone arrived. Licensee then guided LPA on a tour of the facility. A census was conducted, and LPA observed 11 children in care. Per Licensee, there are currently 11 children enrolled. A current children's roster was available for review. The facility's hours of operation are Monday through Friday, 7:30 a.m. to 5:30 p.m. The facility was operating within the licensed capacity for a Large Family Child Care Home at the time of the inspection. LIC 126, Entrance Checklist, was provided to the Licensee.

LPA observed the following required posted documentation in the main entry way of the facility: Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. LPA reviewed facility records for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan.

This is a one-story home which consists of 3 bedrooms, 1 restroom, living room, family room, kitchen, garage which is converted into a classroom, backyard (fenced), and in ground swimming pool. There is a fireplace located next to the kitchen which is covered with a black iron gate which makes it inaccessible to children. Currently residing in the home are two (2) adults and zero (0) minors. There was a total of three (3) adults present during this inspection, licensee and licensee’s assistants. All adults present at time of inspection are fingerprint cleared and associated to facility in Guardian.

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Brandi VanOosten
Diana Ortiz
DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 08/06/2026 04:14 PM - It Cannot Be Edited


Created By: Diana Ortiz On 08/06/2026 at 01:14 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MISTONE, CATHERINE FAMILY DAY CARE
FACILITY NUMBER: 198000524

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, the licensee did not comply with the section cited above in the valve on the required 2A 10BC fire extinguisher indicates fully charged. However, there is not a service tag or a purchase receipt attached which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/20/2026
Plan of Correction
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Per licensee, she will purchase a new fire extinguisher or get it serviced by POC due date.
Type B
Section Cited
HSC
1596.814(a)(1)(B)(ii)(I)
Pool Safety
(ii) (I) An alarm that, when placed in a swimming pool, will sound upon detecting an entrance into the water. The alarm shall be turned on and be in working condition during a facility’s operating hours while the swimming pool is not in use.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, the licensee did not comply with the section cited above in not having a functioning pool alarm which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/20/2026
Plan of Correction
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Per licensee, she will purchase a pool alarm by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:
Diana Ortiz
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/06/2026


LIC809 (FAS) - (06/04)
Page: 3 of 9
Document Has Been Signed on 08/06/2026 04:14 PM - It Cannot Be Edited


Created By: Diana Ortiz On 08/06/2026 at 01:14 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MISTONE, CATHERINE FAMILY DAY CARE
FACILITY NUMBER: 198000524

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.814(a)(2)(A)
Pool Safety
(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (2) The licensee shall have the following safety equipment visible from the swimming pool and readily available for immediate use: (A) A life ring with a minimum exterior diameter of 17 inches and labeled as approved by the United States Coast Guard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, and interview, the licensee did not comply with the section cited above in not having a life ring with a minimum exterior diameter of 17 inches and labeled as approved by the United States Coast Guard which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/20/2026
Plan of Correction
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Per Licensee, she will purchase a life ring with a minimum exterior diameter of 17 inches and labeled as approved by the United States Coast Guard by POC due date.
Type B
Section Cited
HSC
1596.814(a)(2)(B)
Pool Safety
(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (2) The licensee shall have the following safety equipment visible from the swimming pool and readily available for immediate use: (B) A rescue pole with a body hook and a minimum fixed length of 12 feet.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, and interview, the licensee did not comply with the section cited above in having a rescue pole with a body hook and a minimum fixed length of 12 feet which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/20/2026
Plan of Correction
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Per licensee, she will purchase a rescue pole with a body hook and a minimum fixed length of 12 feet by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:
Diana Ortiz
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/06/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/06/2026 04:14 PM - It Cannot Be Edited


Created By: Diana Ortiz On 08/06/2026 at 01:14 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MISTONE, CATHERINE FAMILY DAY CARE
FACILITY NUMBER: 198000524

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.814(a)(3)
Pool Safety
(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (3) A licensee shall perform a daily inspection of the drowning prevention safety features and safety equipment before opening the facility and maintain a log of the inspections to be provided to the department upon request.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in having a daily pool inspection log which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/20/2026
Plan of Correction
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Per licensee, she will create and have a pool inspection log readily available by POC due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:
Diana Ortiz
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/06/2026


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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MISTONE, CATHERINE FAMILY DAY CARE
FACILITY NUMBER: 198000524
VISIT DATE: 08/06/2026
NARRATIVE
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Areas accessible to children were inspected as follows: Garage/daycare room, living room, dining room, side patio, and the restroom located in the hallway. Families enter the daycare through the left side of the home through a gate. Per licensee, the areas that are inaccessible to children include: 3 bedrooms, kitchen, backyard where swimming pool is, and front yard. LPA observed that doors are kept closed and locked. During this visit, all areas identified on the facility sketch that are accessible for children to use were toured and inspected.

Tour began in the main daycare room. Parents use a separate entrance from the main house for drop-off and pick-up. LPA observed age-appropriate toys, equipment, and materials available for the children. Sleeping mats and bedding were available for children's use. LPA then toured the children's bathroom, which is located adjacent to the living room area. LPA observed that the bathroom was clean, sanitary, and in safe condition for children's use.

All areas identified on the facility sketch as accessible to children were inspected and found to be clean, orderly, and equipped with adequate ventilation and heating to ensure the safety and comfort of the children. Telephone service is available through both a landline and cellular phone. LPA observed age-appropriate toys that were in good condition and free of loose or sharp parts. Licensee stated that there are no poisons stored in the home and acknowledged the requirement that any poisonous substances must be kept locked and inaccessible to children. Licensee was advised that the accessibility of potential hazards must be continually reassessed based on the ages and developmental abilities of the children in care.

The Licensee utilizes the left side (patio) of the backyard as the designated outdoor activity space. LPA observed that the outdoor play area is enclosed by a cement wall along the perimeter along with a long iron gate which separates the rest of the back yard. The gate had a hook on top of the gate and was locked during this inspection. Age-appropriate toys and play equipment were available for the children. According to the Licensee, children are supervised at all times while using the outdoor play area.

At approximately 12:40pm, LPA observed an in-ground swimming pool on the property. The pool is enclosed by a combination of iron fencing and walls surrounding its perimeter. The iron fencing measures approximately 5 feet in height, with vertical bars spaced 4 inches apart.
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NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Diana Ortiz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MISTONE, CATHERINE FAMILY DAY CARE
FACILITY NUMBER: 198000524
VISIT DATE: 08/06/2026
NARRATIVE
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The bottom of the fence is installed over cement and grass, with a clearance of no more than 2 inches from the ground. The gate provides access to the pool area and opens away from the pool. The main gate was observed to self-close and self-latch. LPA did not observe a key lock on the gate door. LPA did not observe a life ring with a minimum diameter of 17 inches, a rescue pole equipped with a body hook and a minimum fixed length of 12 feet, and a functioning pool alarm. LPA also did not observe a daily pool safety inspection log. This poses a potential health and safety risk to the children in care. According to the licensee, children do not use the swimming pool during the facility's hours of operation. LPA provided swimming pool safety PIN 25-01-CCP to licensee during this inspection.


Licensee states that she is part of a food program called Options. Per licensee, she provides breakfast, lunch and PM snacks for the children in care. LPA advised that if parents do provide food, that it must be labeled with child’s name and stored appropriately. Per Licensee, there is central air and heating in the home.

Per Licensee, the ill/isolation area is in the living area which is located next to the daycare room. The children will wait on a mat or chair for parents or authorized representatives to pick them up.

Detergents, cleaning compounds, and medications were observed to be inaccessible to children. Per Licensee, there are no weapons or firearms in the home or on the premises. LPA did not observe any weapons or firearms in the premises at time of inspection.

The valve on the required 2A 10BC fire extinguisher indicates fully charged. However, there is not a service tag or a purchase receipt attached. This poses a potential health and safety risk to the children in care.

Smoke and carbon monoxide detectors were tested and were operable on this day. Last fire and disaster drill was conducted on 07/30/2026. Reminded Licensee that all homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill.


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NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Diana Ortiz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
LIC809 (FAS) - (06/04)
Page: 7 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MISTONE, CATHERINE FAMILY DAY CARE
FACILITY NUMBER: 198000524
VISIT DATE: 08/06/2026
NARRATIVE
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The home is observed to be clean and orderly. There are first aid supplies available located in the main daycare area near the entrance. LPA observed that there are age-appropriate toys available for children. Appropriate sleeping arrangements in form of mats were observed.

Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization's Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, and LIC 995A Notification of Parents’ Rights.

Staff files were reviewed for the following: LIC 508- Criminal Record Statement, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse. Pediatric First Aid and CPR certification expires on 03/2028 for Licensee. Mandated Reporter Training for Licensee expires on 08/2027. Reminded licensee that AB 1207, mandated reporter training, should be conducted every two years.

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a child care facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.

Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

LPA did not observe the following items during the inspection: Johnny Jumpers, Saucer Chairs, and/or any other item that fall into these categories are not permitted in a family childcare facility.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

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NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Diana Ortiz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
LIC809 (FAS) - (06/04)
Page: 8 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MISTONE, CATHERINE FAMILY DAY CARE
FACILITY NUMBER: 198000524
VISIT DATE: 08/06/2026
NARRATIVE
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 LPA also informed licensee of the importance of checking for and removing any recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Based on Licensing staff observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Catherine Mistone.

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NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Diana Ortiz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
LIC809 (FAS) - (06/04)
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