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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394501062
Report Date: 11/08/2024
Date Signed: 11/08/2024 12:53:38 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
09/05/2024 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240905102402
FACILITY NAME:CATALYST KIDS - MCKINLEY VILLAGEFACILITY NUMBER:
394501062
ADMINISTRATOR:FRIBA LUTFIFACILITY TYPE:
860
ADDRESS:2105 NORTH TRACY BLVDTELEPHONE:
(209) 407-1240
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:90CENSUS: 32DATE:
11/08/2024
UNANNOUNCEDTIME BEGAN:
09:38 AM
MET WITH:Friba LutfiTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Reporting Requirements: Staff did not report incident involving day care child as necessary.
INVESTIGATION FINDINGS:
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On November 8, 2024, Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of delivering complaint findings. LPA met with Director, Friba Lutfi. LPA observed (24) twenty-four preschool children supervised by 7 staff, (10) ten toddlers supervised by 2 staff and 9 infants supervised by 6 staff.

An investigation was conducted regarding the complaint allegation listed above. It was alleged that staff did not report an incident involving an injury that occurred to a child in care. Interviews were conducted with the Reporting Party, facility staff and parents of children in care. Director acknowledged a child was injured on the playground. Dental care was needed as a result from the injury. The child’s parent was notified, and a meeting was held to discuss the incident however Community Care Licensing was not informed of the incident, nor was there an Unusual Incident Report submitted as required by regulation.

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

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
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 7
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
09/05/2024 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240905102402

FACILITY NAME:CATALYST KIDS - MCKINLEY VILLAGEFACILITY NUMBER:
394501062
ADMINISTRATOR:FRIBA LUTFIFACILITY TYPE:
860
ADDRESS:2105 NORTH TRACY BLVDTELEPHONE:
(209) 407-1240
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:90CENSUS: 32DATE:
11/08/2024
UNANNOUNCEDTIME BEGAN:
09:38 AM
MET WITH:Friba LutfiTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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9
Infant Care Personal Services:
Staff did not follow proper general sanitation procedures.
INVESTIGATION FINDINGS:
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On November 8, 2024, Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of delivering complaint findings. LPA met with Director, Friba Lutfi. LPA observed (24) twenty-four preschool children supervised by 7 staff, (10) ten toddlers supervised by 2 staff and 9 infants 6 staff.

An investigation was conducted regarding the complaint allegation listed above. It was alleged that Staff did not follow proper general sanitation procedures. Interviews were conducted with the Reporting Party, facility staff and parents of children in care. Statements were received confirming specific cleaning solutions used and sanitation protocol for the facility. Inconsistent statements were provided concerning if cleaning solutions were measured accurately and if the diapering stations are sanitized according to facility policy.

Based on the information received, the allegation is determined to be UNSUBSTANTIATED.

Exit interview conducted at which time the report was reviewed with Facility Representative, Friba Lutfi. 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 53-CC-20240905102402
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 - MCKINLEY VILLAGE
FACILITY NUMBER: 394501062
VISIT DATE: 11/08/2024
NARRATIVE
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Based on the information received, the allegation is determined to be SUBSTANTIATED. Deficiency will be cited on subsequent page, LIC 809D.

Exit interview conducted at which time the report was reviewed with Facility Representative, Friba Lutfi. 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: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 53-CC-20240905102402
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 - MCKINLEY VILLAGE
FACILITY NUMBER: 394501062
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/06/2024
Section Cited
CCR
101212(d)(1)(B)
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(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
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Director will review Title 22 Regulations, section 101212 and ensure that all unusual incidents are reported to Community Care Licensing within 24 hours, and written report within 7 days.
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 (B) Any injury to any child that requires medical treatment.
This requirement was not met as evidenced by:
Facility did not report an incident involving a daycare child being injured to Community Care Licensing. And unusual incident report was not completed and submitted to CCL as required by regulation. This is a potential risk to the health and safety of children in care.
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Director stated that all staff will be trained on incident reporting .Training material/roster will be submitted with POC. Statement acknowledging review of regulation will be submitted by POC date- 12/6/24.
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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: 11/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 7