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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370418
Report Date: 07/31/2026
Date Signed: 07/31/2026 02:29:17 PM

Document Has Been Signed on 07/31/2026 02:29 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CATALYST KIDS-WOODBURYFACILITY NUMBER:
304370418
ADMINISTRATOR/
DIRECTOR:		AHN, PETERFACILITY TYPE:
840
ADDRESS:125 GREAT LAWNTELEPHONE:
(949) 726-5120
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY: 105TOTAL ENROLLED CHILDREN: 105CENSUS: 11DATE:
07/31/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Director, Peter AhnTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 07/31/2026, Licensing Program Analyst (LPA) Sarah Garcia conducted a case management- incident in response to a self-reported unusual incident report (LIC 624) received on 06/10/26 regarding alleged children’s personal rights being violated. This is a continuation of the investigation initiated on 6/23/26. LPA met with director, Peter Ahn. LPA and director toured the facility inside and outside and the floor and yard plan were verified. Census was taken in individual classrooms. Upon arrival, the overall census observed was 2 school-age staff and 11 school-age children.

A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 06/10/2026, a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported that on 06/02/26, Child 1 (C1) disclosed that at approximately 2:15pm during snack time C1 and Child 2 (C2) were talking about sports bras and how they are uncomfortable. Staff 1 (S1) commented, “I understand its uncomfortable, but later on you will be wearing a bra”. During a transition period, S1 walked by and pulled C1 by the back of the shirt. S1 was placed on administrative leave on 6/17/2026.



During the course of the investigation, LPA Garcia interviewed 6 staff, 2 children, and 2 authorized representatives, and obtained children’s roster, C1 and C2 emergency forms (LIC 700), and Human Resources (HR) investigative findings.

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Tina Nguyen
Sarah Garcia
DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/31/2026
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CATALYST KIDS-WOODBURY
FACILITY NUMBER: 304370418
VISIT DATE: 07/31/2026
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During staff interviews, all staff interviewed stated C1 and C2 disclosed they had an inappropriate and uncomfortable conversation with S1. All staff interviewed stated C1 and C2's authorized representatives were notified of the incident. Staff 5 (S5) was present at the time of the incident and did not observe any inappropriate interaction between C1 and S1. Staff 6 (S6) stated C2 informed them of the incident, and S6 reported it to management. S1 denied the allegations about speaking inappropriately with C1 and C2 and grabbing C1’s shirt.

The facility is planning to conduct an all staff training on 8/5/26 about adult and child appropriate interactions and supervision.

During children’s interviews, C1 and C2 confirmed they were discussing sports bras and S1 overheard the conversation and started to talk about it as well. C2 observed S1 grab C1’s shirt and pull their bra back.

Authorized representatives interviewed stated they were notified of the incident, and they do not have any concerns with the facility.

LPA requested video footage and on 6/23/26 district came to the facility to obtain video footage. The district attempted to obtain video footage but was unable to recover a clear image of the incident.

The facility HR department conducted an internal investigation and found the allegations to be unsubstantiated. LPA reviewed the HR investigation notes and HR interviewed staff and witnesses and based on statements there was no corroborating evidence to support violation of personal rights.

Based on LPA’s interviews, record review, and observations, the facility was in compliance with regulations, and no deficiency was observed during today’s inspection.

Exit interview conducted and report was reviewed with director, Peter Ahn. A notice of site visit was given and must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen
NAME OF LICENSING PROGRAM ANALYST: Sarah Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC809 (FAS) - (06/04)
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