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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334841029
Report Date: 07/21/2021
Date Signed: 07/22/2021 11:00:13 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/12/2021 and conducted by Evaluator Otsanya Cameron
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210412120759
FACILITY NAME:CATALYST KIDS - MENIFEEFACILITY NUMBER:
334841029
ADMINISTRATOR:RACHEL M SMITHFACILITY TYPE:
850
ADDRESS:25625 BRIGGS ROADTELEPHONE:
(951) 928-4000
CITY:MENIFEESTATE: CAZIP CODE:
92585
CAPACITY:144CENSUS: 31DATE:
07/21/2021
UNANNOUNCEDTIME BEGAN:
04:07 PM
MET WITH: Rachel Smith- Center ManagerTIME COMPLETED:
04:58 PM
ALLEGATION(S):
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 Child sustained an injury while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Otsanya Cameron arrived at the facility to deliver findings for the above allegation. LPA was met with the Center Manager, took a tour of the facility, and confirmed census of 30 children.

It was alleged Child #1 sustained an injury while in care. During investigation, LPAs interviewed all pertinent parties, obtained photographs of Child #1 before and after the injury, and made contact with Law Enforcement.

On 03/30/21, immediately after picking up Child #1 at the end of the day, Child #1’s guardian observed red striations/marks on Child #1’s arm and immediately informed staff of the injury. LPA interviewed staff. Staff stated they were not aware of any injury to Child #1 and cannot say when or how the injury occurred.

Continued on Lic 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Dawn Parker
LICENSING EVALUATOR NAME: Otsanya Cameron
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 10-CC-20210412120759
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CATALYST KIDS - MENIFEE
FACILITY NUMBER: 334841029
VISIT DATE: 07/21/2021
NARRATIVE
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LPA obtained photos of Child #1 before and after the injury. During the day of Child #1’s injury, staff took photos of Child #1 earlier in the day. LPA was able to see Child #1’s arm and there were no visible markings. Given the time frame between pick up and guardian’s observation of markings, it is evident Child #1 sustained the injury while in care at the day care center.

Law Enforcement was contacted, and an investigation was completed with no charges filed and no further action required.

LPA determined Child #1 did sustain the injury while in care and staff failed to visually observe Child #1 due to not being to explain how or when the injury occurred. Based on photos obtained and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Exit interview conducted with Master Teacher Charity Stear and Notice of Site visit given. LPA observed posting.

Appeal rights issued and discussed.
SUPERVISORS NAME: Dawn Parker
LICENSING EVALUATOR NAME: Otsanya Cameron
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20210412120759
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CATALYST KIDS - MENIFEE
FACILITY NUMBER: 334841029
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/21/2021
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision
(a) (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified. Supervision shall include visual observation.This requirement was not met as evidenced by:
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Center manager states that training was conducted on 5/20/21 and additional training updates will be conducted on supervision again on 8/6/21
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Based on evidence and interview, Child sustained unknown injury in care. Facility staff is not able to provide a definitive answer on how the bruising/markings occurred.
This poses an immediate risk to children 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.
SUPERVISORS NAME: Dawn Parker
LICENSING EVALUATOR NAME: Otsanya Cameron
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3