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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300651
Report Date: 12/16/2022
Date Signed: 12/16/2022 09:46:17 AM

Document Has Been Signed on 12/16/2022 09:46 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CATALYST KIDS - MENIFEEFACILITY NUMBER:
336300651
ADMINISTRATOR:SMITH,RACHELFACILITY TYPE:
830
ADDRESS:25625 BRIGGS RD.TELEPHONE:
(951) 928-4000
CITY:MENIFEESTATE: CAZIP CODE:
92596
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 0DATE:
12/16/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:CHARITY STEARTIME COMPLETED:
10:00 AM
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Licensing Program Analyst Ana Noble arrived to conducted a Pre-licensing inspection for Infant Program. Upon arriving LPA was informed that the classroom being inspected today are not ready due to a recent leak. LPA contact Rachel Smith, Director and contact for the Applicant via telephone. Ms. Smith informed LPA that the inspection would need to be rescheduled for late January 2023. Ms. Smith stated that Charity Stear, could met with LPA and sign this report. LPA toured the classroom effected by the leak.

LPA met with Charity Stear, Master Teacher and designation of responsibility for this location. Exit interview conducted and report was reviewed with Charity Stear.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 12/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/16/2022
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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