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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394501062
Report Date: 10/31/2024
Date Signed: 10/31/2024 10:46:26 AM

Document Has Been Signed on 10/31/2024 10:46 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 - MCKINLEY VILLAGEFACILITY NUMBER:
394501062
ADMINISTRATOR/
DIRECTOR:		FRIBA LUTFIFACILITY TYPE:
860
ADDRESS:2105 NORTH TRACY BLVDTELEPHONE:
(209) 407-1240
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY: 90TOTAL ENROLLED CHILDREN: 60CENSUS: 46DATE:
10/31/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:28 AM
MET WITH:Friba LutfiTIME VISIT/
INSPECTION COMPLETED:
10:40 AM
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On October 31, 2024, Licensing Program Analyst (LPA) Stacey Williams met with Director, Friba Lutfi for the purpose of conducting a case management inspection. LPA observed 26 preschool aged children supervised by 6 staff, 9 toddlers with 4 staff and 11 infants supervised by 5 staff.

LPA conducted interviews pertaining to the incident reported to Community Care Licensing on October 23, 2024.

Exit interview conducted and report was reviewed with Director, Friba Lutfi . 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.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2024
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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