344501005-2-22-2024-53-CC-ASIS-D2PRJK-20240222120403

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 344501005
Report Date: 02/22/2024
Date Signed: 02/22/2024 12:05:37 PM

Document Has Been Signed on 02/22/2024 12:05 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	CATALYST KIDS - ARTHUR BUTLER		FACILITY NUMBER:	344501005
ADMINISTRATOR:	TSENG, SUSAN		FACILITY TYPE:	860
ADDRESS:	9180 BROWN ROAD		TELEPHONE:	(916) 689-1330
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95624
CAPACITY: 55	TOTAL ENROLLED CHILDREN: 23	CENSUS: 4	DATE:	02/22/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Nancy Torres Acevedo		TIME COMPLETED:	11:00 AM

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	Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Alecia Sifuentes met with Center Manager Nancy Torres Acevedo for the purpose of an announced pre-licensing and change of capacity inspection. Licensee requests a change of capacity for the current school-age component (343603910) to serve 35 children enrolled in kindergarten and above and add a preschool component to serve 20 children from two years to entry into kindergarten. The fire clearances (STD850s) were granted and received on 2/6/2024. LPA informed the Center Manager that the facility will be converted to a single child care center license under facility number 344501005, therefore LPA will be closing the current school-age facility number 343603910. LPA observed four school-age children with two teachers. The facility is located at Arthur C. Butler Elementary School. The program currently operates Monday through Friday from 7:00 a.m. to 6:00 p.m. The facility will provide breakfast, lunch, and afternoon snacks. LPA reviewed with the Center Manager the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. INDOOR ACTIVITY SPACE: There is one preschool classroom located in Room #2 and one school-age classroom located in Room #1. The school-age children will also utilize the elementary school’s multipurpose room. LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. There is a first aid kit located in each classroom. Medications will be stored in the kitchen in a locked box in the classroom cabinets. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Center Manager stated there are no poisons or firearms on the premises. Center Manager stated staff will use water jug and cups for the children indoors and outdoors. LPA observed a functional carbon monoxide detector in the kitchen. LPA observed an electronic sign-in/sign-out system. Report continues on LIC809-C page 2.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024

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 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CATALYST KIDS - ARTHUR BUTLER	FACILITY NUMBER: 344501005
	VISIT DATE: 02/22/2024

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
26
27
28
29
30
31
32

Page 2.

Per Health and Safety Code 1596.806, the school-age component is exempt from square footage requirements; therefore LPA did not take measurements of the school-age classroom spaces. LPA measured the preschool classroom (Room #2). The preschool classroom space contains a total of 796 square feet, which will accommodate Licensee’s request for 20 preschool children. There is one toilet and two sinks located in the school-age classroom and one toilet and two sinks located in the preschool classroom. Licensee has requested a Shared Bathroom Waiver for the preschool children to utilize the school-age bathroom, when needed. The school-age children will also use the elementary school restrooms. There is a separate private restroom for the staff located on the elementary school campus. Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is one preschool yard located behind the classroom on the grass area. School-age children will utilize the elementary school yard. Center Manager stated that the preschool children will also utilize the blacktop area, but not the playground due to the play structure being approved for ages 5 to 12 years. The outdoor play areas are fenced with a chain link fence that is at least four feet tall. LPA observed a sufficient amount of equipment and toys. There are no bodies of water on the premises. There are shaded areas supplied by trees and overhangs.

Per Health and Safety Code 1596.806, the school-age component is exempt from square footage requirements; therefore LPA did not take measurements of the school-age yard. LPA measured the preschool outdoor activity space. The preschool yard contains a total of 17,741 square feet, which will accommodate Licensee’s request for 20 preschool children.

Report continues on LIC809-C page 3.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CATALYST KIDS - ARTHUR BUTLER	FACILITY NUMBER: 344501005
	VISIT DATE: 02/22/2024

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
26
27
28
29
30
31
32

Page 3.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes 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) or (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

LPA discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with the Center Manager any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

Center Manager was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Center Manager was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Report continues on LIC809-C page 4.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CATALYST KIDS - ARTHUR BUTLER	FACILITY NUMBER: 344501005
	VISIT DATE: 02/22/2024

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
26
27
28
29
30
31
32

Page 4.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the Center Manager, Nancy Torres Acevedo.

The following item is required before a license will be issued:

1. Final file review from Licensing Program Manager (LPM) Mai Lor.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024

LIC809 (FAS) - (06/04)

Page: 4 of 4