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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343600618
Report Date: 02/26/2026
Date Signed: 02/26/2026 04:23:15 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/02/2025 and conducted by Evaluator Loraine Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20251202135829
FACILITY NAME:CATALYST KIDS - NORTH COUNTRYFACILITY NUMBER:
343600618
ADMINISTRATOR:MITCHELL, KRYSTLEFACILITY TYPE:
840
ADDRESS:3901 LITTLE ROCK DRIVETELEPHONE:
(916) 332-5185
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:99CENSUS: 36DATE:
02/26/2026
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Alexis DonnellyTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Lack of staff supervision resulted in inappropriate behavior between children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Loraine Perez met with Facility Representative, Alexis Donnelly, for the purpose of conducting an unannounced subsequent complaint investigation inspection pertaining to the above allegation. The purpose of today's inspection was explained to Facility Representative.

Based on LPA witness statements, the facility had a lack of supervision of children that resulted in inappropriate behavior between children. A small group of children was being supervised by one staff member. While supporting a disagreement between one small group, another group engaged in a game of inappropriate touching.
The preponderance of evidence standard has been met, therefore the above allegations is SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
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 4
Control Number 03-CC-20251202135829
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CATALYST KIDS - NORTH COUNTRY
FACILITY NUMBER: 343600618
VISIT DATE: 02/26/2026
NARRATIVE
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The Facility Representative was informed that this report dated 02/26/2026 documents one Type A citation and must be posted for parental review for 30 consecutive days. The facility must also provide a copy of this licensing report 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 each child's file for verification.

Exit interview was conducted and a copy of this report was given to the Facility Representative, Alexis Donnelly. Notice of site was given and must remain posted for parental review for 30 days. Appeal rights were provided.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/02/2025 and conducted by Evaluator Loraine Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20251202135829

FACILITY NAME:CATALYST KIDS - NORTH COUNTRYFACILITY NUMBER:
343600618
ADMINISTRATOR:MITCHELL, KRYSTLEFACILITY TYPE:
840
ADDRESS:3901 LITTLE ROCK DRIVETELEPHONE:
(916) 332-5185
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:99CENSUS: 36DATE:
02/26/2026
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Alexis DonnellyTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff did not follow reporting requirements
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Loraine Perez met with Facility Representative, Alexis Donnelly, for the purpose of conducting an unannounced subsequent complaint investigation inspection pertaining to the above allegation. The purpose of today's inspection was explained to Facility Representative.

Witness statements, LPA document reviews failed to corroborate the allegation. Facility Representative reported an unusual incident report to community care licenseing division and communication was shared with parents. From interview there were conflicting reports of a possible second related incident. It is unclear if the 2nd incident was known when the 1st incident was communicated to Licenseing and parents.
Although the allegation may have happened, there is not a preponderance of evidence to prove the allegation; therefore, the allegation is unsubstantiated. Exit interview was conducted and report was reviewed with Facility Representative, Alexis Donnelly. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20251202135829
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CATALYST KIDS - NORTH COUNTRY
FACILITY NUMBER: 343600618
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
02/27/2026
Section Cited
CCR
101229(a)(1)
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The licensee shall provide care and supervision as necessary to meet the children's needs.

This requirement is not met as evidenced by:
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Licensee stated more staff has been hired. Licensee shall LIC500. LPA shall return for plan of correction inspection.
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Based on witness statements, the licensee did not comply with the section cited above, staff while attending a disagreement did not provide supervision to another small group which poses an immediate risk to the health, safety of 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.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4