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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624530
Report Date: 06/07/2023
Date Signed: 06/22/2023 02:26:28 PM

Document Has Been Signed on 06/22/2023 02:26 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CATALYST KIDS - PRAIRIEFACILITY NUMBER:
343624530
ADMINISTRATOR:JANICE LALFACILITY TYPE:
850
ADDRESS:5251 VALLEY HI DRIVETELEPHONE:
(480) 556-7300
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
06/07/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Claire Hung & Janice LalTIME COMPLETED:
10:20 AM
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Licensing Program Analyst (LPA) Gagandeep Singh met with the site supervisor, Claire Hung, and Janice Lal for a pre licensing inspection. Purpose of the inspection was explained. This facility was measured previously on May 17, 2023 and the outdoor space for children was found to be sufficient for 13 children. The facility representative contacted the LPA and requested another area to be added to the outdoor space. Today's inspection was to measure the additional space and check for health and safety.

During today's inspection, LPA measured the additional space for outdoor play area. The facility is requesting the space in front of the entrance door, rectangular space on right side of the classroom and rectangular space on left side of school age classroom. During today's inspection, LPA measured the front space and found it to be 608.769 square feet, which makes the total outdoor space of 1580.168 square feet. Based on the measurements, the facility has outdoor space sufficient for 21 children and indoor space of 668.243 square feet is sufficient for 19 children.

LPA encouraged the facility to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

The following items are required before a license will be issued:

1. Revised fire clearance.


2. Updated application LIC 200A with the new capacity.
3. Pending Licensing Program Manager’s final review

Exit interview conducted and report was reviewed and provided to the site supervisor.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023
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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