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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371111
Report Date: 12/18/2024
Date Signed: 12/18/2024 04:36:51 PM

Document Has Been Signed on 12/18/2024 04:36 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-HERITAGEFACILITY NUMBER:
304371111
ADMINISTRATOR/
DIRECTOR:		ORELLANA, CHRISTINAFACILITY TYPE:
840
ADDRESS:15400 LANSDOWNE RDTELEPHONE:
(714) 589-2492
CITY:TUSTINSTATE: CAZIP CODE:
92782
CAPACITY: 140TOTAL ENROLLED CHILDREN: 34CENSUS: 25DATE:
12/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Program Lead-Christina OrellanaTIME VISIT/
INSPECTION COMPLETED:
04:50 PM
NARRATIVE
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On 12/18/2024, at 3:00pm, a case management inspection was conducted today by Licensing Program Analysts (LPAs) Navar and Deschampe who met with the Program Lead Christina Orellana. A self-reported incident by the facility was received at the regional office on 12/12/24 which stated that facility was out of ratio with 2 staff and 30 children from 2:38PM-2:58PM.

Upon arrival there were 3 staff present and 25 children in care. A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During this investigation, LPAs toured the facility with Program Lead and interviewed three (3) staff (S1-S3). S2-S3 were present at the time the incident happened. All three (3) staff interviewed stated that facility was out of ratio from 2:38PM-2:58PM with 30 children and that children were participating in homework activities until staff 4 (S4) arrived at 2:58PM. LPAs obtained a copy of the sign in and sign out sheet dated 12/11/2024 and Personnel Summary Report.

Based on the information gathered from the interviews conducted and records reviews, it was determined that staff S2 and S3 were out of ratio from 2:38PM-2:58PM with 30 children. The facility was not in compliance of the California Code of Regulations, Title 22, Division 12. The following citation 101516.5(b)(1) Teacher-Child Ratio was issued today on the attached LIC 809D.


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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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-HERITAGE
FACILITY NUMBER: 304371111
VISIT DATE: 12/18/2024
NARRATIVE
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LPAs Navar and Deschampe informed Program Lead Christina Orellana that this report dated 12/18/204 for Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPAs Navar and Deschampe informed the Program Lead to provide a copy of this licensing report dated 12/18/2024 Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Program Lead Christina Orellana. A notice of site visit was given and must remain posted for 30 days.



End of report.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/18/2024 04:36 PM - It Cannot Be Edited


Created By: Karen Navar On 12/18/2024 at 03:58 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CATALYST KIDS-HERITAGE
FACILITY NUMBER: 304371111

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/18/2024
Section Cited
CCR
101516.5(b)(1)

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101516.5(b)(1)Teacher-Child Ratio (b)There shall be a staffing ratio of one teacher and one aide present to every 28 children...(1)A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children.
This evidence has not been met by...
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Program Lead stated and records review showed that S4 came at 2:58PM on 12/11/2024. Program Lead/ and Site Supervisor will meet regarding a Ratio plan to put in place for facility and email to LPA by 12/20/2025.
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Based on interview and records review, the facility did not comply with the section cited above. Staff S2 and S3 were out of ratio from 2:38PM-2:58PM with 30 children which is a health, safety or personal rights risk to persons in care.
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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.
SUPERVISOR'S NAME:Judy Hanson
LICENSING EVALUATOR NAME:Karen Navar
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2024


LIC809 (FAS) - (06/04)
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