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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300614059
Report Date: 07/26/2023
Date Signed: 07/26/2023 03:56:53 PM

Document Has Been Signed on 07/26/2023 03:56 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CATALYST KIDS-TURTLE ROCKFACILITY NUMBER:
300614059
ADMINISTRATOR:HO, MINDYFACILITY TYPE:
840
ADDRESS:5151 AMALFI DRIVETELEPHONE:
(949) 854-5060
CITY:IRVINESTATE: CAZIP CODE:
92603
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 15DATE:
07/26/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Center Manager, Marsha Linquist TIME COMPLETED:
03:55 PM
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Licensing Program Analyst (LPA) Patricia Duron conducted a Case Management Inspection to investigate an Unusual Incident Report (UIR) which was self-reported to our office on 10/20/2021. Upon entry to the facility, LPA Duron met with Center Manager, Marsha Linguist. LPA observed 15 school children in care with 4 staff members providing care and supervision. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Self-reported incident received on 10/20/2021 stated (C1) left the Facility without informing Facility staff. Based on information that was obtained the Facility was unaware of C1’s whereabouts for about 50 minutes. LPA Duron conducted this inspection to review facility’s new procedures to ensure facility is providing care and supervision to children in care. LPA requested, the Facility Roster (LIC 9040), LPA observed Name to face log, sign in and out sheets,the facility's entrance/exit doors and an interview with Center Manager, Marsha Linquist was conducted. Center Manager stated every month staff members take a required Health and Safety Training. Manager stated during the school year, staff will contact front office and child’s parents/authorized representatives if child does not arrive within 5 minutes after school has let out. Child's parents/authorized representatives will inform staff if child is enrolled in an after school program. Center Manager, Linquist stated, the elementary school provides a list to Catalyst Kids, when a child is enrolled in an after school program for example, homework help, A.C.E.S care an after school club for art or stem class, or sports.

The Notice of Site Visit was posted. Center Management was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The Center Management was provided a copy of their Appeal Rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. Site Supervisor was informed all appeals must be in writing and received by the Licensing office within 15 business days. End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2023
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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