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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334840050
Report Date: 12/23/2024
Date Signed: 12/23/2024 11:44:25 AM

Document Has Been Signed on 12/23/2024 11:44 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CATALYST KIDS - JOHN F. KENNEDYFACILITY NUMBER:
334840050
ADMINISTRATOR/
DIRECTOR:
AMANDA ROSSIFACILITY TYPE:
850
ADDRESS:19125 SCHOOLHOUSE LANETELEPHONE:
(951) 780-1083
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY: 24TOTAL ENROLLED CHILDREN: 15CENSUS: 8DATE:
12/23/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Program Lead/Director-Amanda RossiTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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On 12/23/2024 a case management visit is being conducted by Licensing Program Analyst (LPA) Susan Brewer, in response to the receipt of a self-reported unusual incident report (UIR) from the facility. The LPA was greeted by Program Lead/Director Amanda Rossie and granted entry to tour the facility inside and out. The UIR was received by the licensing agency on 12/13/2024. It indicates that during the course of outdoor play, a daycare child injured their right leg, resulting in a fracture.

LPA S. Brewer obtained facility records, documents and conducted interviews with pertinent parties which indicate that facility staff were present to supervise the daycare child when the incident took place. Pertinent parties interviewed witnessed a subject child placing their foot on the ladder while climbing when the child fell and landed onto the wood chips. The LPA inspected the outdoor play equipment which was not damaged and wood chips are under the play structure to break and cushion a child's fall. The facility followed their operational plan and emergency plan, contacted parents and provided parents with a written report. Based on information gathered, the facility acted appropriately and no violations have been identified at this time.

No citations were issued.

No Civil Penalties were issued.

An exit interview was conducted and a copy of this report was provided to Program Lead/Director Amanda Rossi.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2024
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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