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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393605862
Report Date: 05/19/2026
Date Signed: 05/19/2026 02:31:12 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
04/24/2026 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20260424131501
FACILITY NAME:CATALYST KIDS - JACOBSONFACILITY NUMBER:
393605862
ADMINISTRATOR:ELIZABETH GOODWINFACILITY TYPE:
850
ADDRESS:1750 KAVANAGH STREETTELEPHONE:
(209) 832-8799
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:48CENSUS: 10DATE:
05/19/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Marti RhoadesTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Lack of Supervision: Staff left child unsupervised
INVESTIGATION FINDINGS:
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On May 19, 2026, Licensing Program Analyst (LPA) Stacey Williams met with Facility Representative, Marti Rhoades for the purpose of delivering complaint findings. LPA observed ten children supervised by three staff.
LPA conducted an investigation regarding the allegation listed above. It was alleged that staff left a child unsupervised. The facility was toured and interviews were conducted with the reporting party and pertinent individuals to assist with the investigation. The investigation revealed that appropriate ratios were met at the time of the incident. Staff explained that C1 was playing with a rope and running around the outdoor play area when another child started to cry. Staff then immediately turned their attention to the crying child. In the interim, C1 ran out of the outdoor area and into the classroom. Staff noticed C1 was not in sight and found them in the classroom. The lack of supervision is an immediate risk to the health and safety of children in care.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
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 3
Control Number 53-CC-20260424131501
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 - JACOBSON
FACILITY NUMBER: 393605862
VISIT DATE: 05/19/2026
NARRATIVE
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The allegation is substantiated. Based on the information received, 1 type A Title 22 deficiency will be cited on the attached LIC 9099D for a lack of supervision and repeat violation.

Upon receipt of Type A citations, facility shall post and provide copies of the LIC 9009D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed LIC 9224, Acknowledging Receipt of Licensing Report LIC 9099D in each child's files.

Exit interview conducted at which time the report was reviewed with Facility Representative, Marti Rhoades. A Notice of Site Visit was posted by LPA Williams and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20260424131501
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 - JACOBSON
FACILITY NUMBER: 393605862
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/20/2026
Section Cited
CCR
101229(a)(1)
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No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Facility Representative stated the classroom has been rearranged to make doors less accessible. Door alarms have been installed and a latch to the outdoor gate has been added. Floater staff has been assigned to assist with supporting C1 from the time of arrival until 3pm.
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This requirement was not met as evidenced by: C1 ran out of the outdoor area and into the classroom. Staff noticed C1 was not in sight and found them in the classroom This is an immediate risk to the personal rights and health and safety of children in care.
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C1's parent was provided referral services. Facility Representative will continue to communicate with C1's parent to support in finding additional services. Facility Representative will email a written statement outlining the above in addition resources available to parent and child. Statement will be emailed by poc date.
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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: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3