<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841029
Report Date: 02/18/2022
Date Signed: 02/18/2022 01:51:37 PM

Document Has Been Signed on 02/18/2022 01:51 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
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: 144TOTAL ENROLLED CHILDREN: 132CENSUS: 91DATE:
02/18/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Cynthia Osorio, Master TeacherTIME COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A case management visit is being conducted in response to the receipt of six (6) unusual incident reports (UIRs) from the facility. LPA met with Master Teacher Cynthia Osorio. LPA spoke with Center Manager Rachel Smith via the phone, to gather additional details surrounding incidents. The UIRs were received by the licensing agency and dated 12/28/21, 01/03/22, 01/18/22, 01/24/22, 01/26/22 and 02/01/22.

The UIR received on 12/28/2021 indicated that Staff #1 (S1) tested positive for COVID-19 and returned on 01/03/22. The UIR dated 01/03/22 indicated that Staff #2 (S2) tested positive for and returned on 01/07/22. The UIR dated 01/18/22 indicated that Child #1 (C1) tested positive and returned to school on 01/25/22. The UIR dated 01/24/22 indicated that Staff #3 (S3) tested positive and returned on 02/07/22. The UIR dated 01/26/22 indicated that Staff #4 (S4) tested positive and returned on 02/01/22. The UIR dated 02/01/22 indicated that Child #2 (C2) and another child were riding their bikes on the playground, when the other child suddenly ran into C2 causing the child to fall off the bike and hit the back of their head.

During today's visit, LPA toured seven rooms (#1, #2, #3, #4, #5, #6 and Toddlers) to ensure the facility is still following COVID-19 protocol. LPA observed children to be napping, so they did not have on protective face coverings; however, LPA observed the mask to be stored in their cubbies.

LPA discussed the face coverings mandate with Center Manager Rachel Smith via the phone. LPA left a copy of the California Department of Public Health guidance dated 02/07/2022 and the Center for Disease Control and Prevention COVID-19 Guidance for Operating Early Care and Education/Child Care Programs. .

An exit interview was conducted and a copy of this report was provided to facility representative Cynthia Osorio.

A Notice of Site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE: DATE: 02/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/18/2022
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 1