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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393610025
Report Date: 09/21/2023
Date Signed: 09/21/2023 12:18:22 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
08/04/2023 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20230804162548
FACILITY NAME:CATALYST KIDS - WICKLUNDFACILITY NUMBER:
393610025
ADMINISTRATOR:TREJO, STEPHANIEFACILITY TYPE:
840
ADDRESS:300 EAST LEGACYTELEPHONE:
(209) 832-5834
CITY:MOUNTAIN HOUSESTATE: CAZIP CODE:
95391
CAPACITY:70CENSUS: 0DATE:
09/21/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Marti RhoadesTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Personal Rights: Staff did not treat day care child with dignity
INVESTIGATION FINDINGS:
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On September 21, 2023, Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of delivering complaint findings. LPA met with Site Supervisor, Marti RhoadesThere were no children in care at the time of the inspection.

LPA Williams conducted an investigation regarding the complaint allegation listed above. It was alleged that staff did not treat daycare child with dignity. Interviews were conducted with the reporting party, facility staff and children in care. Staff(S1) denied the allegation and reported that a pillow was moved away from a child (C1) due to it being a distraction. S1 acknowledged handling the pillows in close proximity to C1 and reported the pillows may have touched C1. S1 denied hitting C1 with the pillows. An usual incident report was submitted to Community Care Licensing (CCL) indicating that S1 tossed pillows in a pile and while doing so a pillow hit C1 in the face. Consistent statements revealed that S1 was visibly upset with C1 for playing with the pillows. Statements also revealed that S1 yelled at the C1 for playing with the pillows in front of other children in care. A preponderance of evidence was met indicating that C1's personal rights were violated during the incident. Site Supervisor confirmed that S1 was immediately removed from the facility after the incident. The facility conducted an internal investigation and as a result S1 was transferred to another facility.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
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-20230804162548
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CATALYST KIDS - WICKLUND
FACILITY NUMBER: 393610025
VISIT DATE: 09/21/2023
NARRATIVE
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The allegation is determined to be substantiated. Title 22 deficiencies will be cited on subsequent page, LIC 9099D.

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: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20230804162548
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CATALYST KIDS - WICKLUND
FACILITY NUMBER: 393610025
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/28/2023
Section Cited
CCR
101223(a)(3)
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(a) The licensee shall ensure that each child is accorded the following personal rights:
To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
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Site Supervisor stated that S1 was immediately removed from the facility and then transferred to another facility. A memorandum of reprimand was issued regarding the incident. Training in the area of personal rights was given to S1. S1 will be required to take training in the area of
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This requirement was not met as evidenced by: C1 was yelled at by S1 and had a pillow hit them as S1 removed the pillows. This is a risk to the health and safety of children in care.
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managing challenging behaviors. Documentation of training (including date of training(s) and administrative action taken will be submitted to CCL by POC date- 9/28/23
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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: 09/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3