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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393609964
Report Date: 06/25/2024
Date Signed: 06/25/2024 11:16:46 AM

Document Has Been Signed on 06/25/2024 11:16 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
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CATALYST KIDS - WICKLUNDFACILITY NUMBER:
393609964
ADMINISTRATOR/
DIRECTOR:		NANDIRANJO, MADHURIFACILITY TYPE:
850
ADDRESS:300 E. LEGACYTELEPHONE:
(209) 832-5834
CITY:MOUNTAIN HOUSESTATE: CAZIP CODE:
95391
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 6DATE:
06/25/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Madhuri Nandiranjo TIME VISIT/
INSPECTION COMPLETED:
10:29 AM
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On June 25, 2024, Licensing Program Analyst (LPA) Stacey Williams and Centralized Application Bureau (CAB) Licensing Program Analyst Alecia Sifuentes met with Site Supervisor, Madhuri Nandiranjo for the purpose of a case management inspection. Licensee requests a change in hours of operation. Licensee is not making any changes to the licensed capacity. LPA received the granted fire clearance on 6/25/2024. The current hours of operation are Monday-Friday 6:30AM-7:00PM.

Indoor activity space:
There are two preschool classrooms in rooms#1 and #2. Room #1 is shared with the School-Age program. Preschool will utilize Room#1 from 9:00AM-12:00PM and School- Age will utilize it from 6:30AM-8:30AM and from 12:30PM-7:00PM. The School-Age program will utilize Rm#1 full day when the preschool program is closed. LPA used current measurements from report dated 7/20/06, therefore LPA did not take measurements. Room #1 contains a total of 823 square feet and Room #2 contains a total of 908 square feet for a total of 1,731 square feet which will accommodate Licensees current capacity of 42 preschool children.

Licensee 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 Site Supervisor, Madhuri Nandiranjo .

Effective today, 06/25/2024, LPAs will approve the new hours of operation.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE: DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2024
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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