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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343600893
Report Date: 02/03/2022
Date Signed: 02/03/2022 11:03:42 AM

Document Has Been Signed on 02/03/2022 11:03 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:CATALYST KIDS - MARY TSUKAMOTOFACILITY NUMBER:
343600893
ADMINISTRATOR:ESPARZA, DIANNAFACILITY TYPE:
840
ADDRESS:8737 BRITTANY PARK DRIVETELEPHONE:
(916) 682-7400
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 5DATE:
02/03/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Kristen GarciaTIME COMPLETED:
11:15 AM
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On Thursday, 02/03/22, Licensing Program Analyst (LPA) Jan Hoshida arrived at the facility to conduct an random annual inspection. LPA met with Lead Teacher Kristen Garcia. This facility is located on the Mary Tsukamoto Elementary School site in Portables K3 and K4. The facility operates Monday through Friday from 7:00 A.M. to 6:00 P.M. The facility provides breakfast, snack and super snack (dinner) for the children. LPA observed a posted menu. Upon arrival, LPA observed five school-age children supervised by one staff member.

LPA toured the facility including all activity/classroom areas, the isolation area, food service area, restrooms, and outdoor play areas. LPA reviewed care and supervision of children, staffing ratios, health related services, furniture, equipment, drinking water, and food service provisions. The facility uses the elementary school playground and the elementary school bathrooms. The outdoor space is shared with the elementary school and is used at alternate times than the school. LPA reviewed the children's Identification and Emergency Information and files. LPA reviewed personnel's education and immunization requirements. All staff currently employed with the center have criminal record clearances and are associated to the Catalyst Kids - Sunset Ranch site facility # 313620604. At least one staff member present today has current EMSA-approved Pediatric/Child CPR and First Aid.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

REPORT CONTINUED ON NEXT PAGE
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Jan Hoshida
LICENSING EVALUATOR SIGNATURE: DATE: 02/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/03/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: CATALYST KIDS - MARY TSUKAMOTO
FACILITY NUMBER: 343600893
VISIT DATE: 02/03/2022
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LPA discussed current COVID guidelines with Lead Teacher. LPA observed that staff and children were wearing masks, and staff encouraged children to keep their masks on.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the facility representative Kristen Garcia.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Jan Hoshida
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2022
LIC809 (FAS) - (06/04)
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