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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370115
Report Date: 07/08/2024
Date Signed: 07/08/2024 01:33:23 PM

Document Has Been Signed on 07/08/2024 01:33 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CATALYST KIDS-HICKS CANYONFACILITY NUMBER:
304370115
ADMINISTRATOR/
DIRECTOR:		RAIBON, KRISTENFACILITY TYPE:
840
ADDRESS:3817 VIEW PARKTELEPHONE:
(714) 544-3492
CITY:IRVINESTATE: CAZIP CODE:
92602
CAPACITY: 140TOTAL ENROLLED CHILDREN: 55CENSUS: 17DATE:
07/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Teacher-Suzanne Taylor-HyltonTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 7/08/24 at 1:00PM, Licensing Program Analyst (LPA), Karen Navar conducted an unannounced complaint inspection for the purpose of delivering an amended report for the report written on 6/12/2024.

Upon arrival LPA met with Teacher Suzanne Taylor-Hylton at Catalyst Kids Orchard Hills to deliver amended report for facility Catalyst Kids-Hicks Canyon that is closed for the summer. LPA observed a total of 17 school age children along with 7 staff.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE: DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/08/2024
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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