414005274-6-10-2026-05-CC-JTSE-DUWPJ8-20260610112107

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414005274
Report Date: 06/10/2026
Date Signed: 06/10/2026 11:21:33 AM

Document Has Been Signed on 06/10/2026 11:21 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	CATALYST KIDS-ROY CLOUD		FACILITY NUMBER:	414005274
ADMINISTRATOR/ DIRECTOR:	ALYSSA SCHOLES		FACILITY TYPE:	860
ADDRESS:	3790 RED OAK WAY		TELEPHONE:	(408) 594-2593
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94061
CAPACITY: 70	TOTAL ENROLLED CHILDREN: 70	CENSUS: 0	DATE:	06/10/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Applicant, Alyssa Scholes		TIME VISIT/ INSPECTION COMPLETED:	11:35 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On June 10, 2026, at approximately 9:00AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an announced prelicensing visit. LPA met with Applicant, Alyssa Scholes, and Site Supervisor, Briana Huss (S1). An application was received by the Regional Office requesting a capacity of 48 school-age children. Fire clearance was granted for 48 school-age children (transitional kindergarten to 6^th grade students) on August 25, 2025. This site will be located on the premises of Roy Cloud Elementary School, utilizing Rooms 21, 22, and the outdoor play areas. This center will operate Monday to Friday, from dismissal time of Roy Cloud Elementary School to 6:00PM and will offer morning care from 7:00AM to the starting time of Roy Cloud Elementary School. Per Health & Safety Code sections 1596.806(a), (a)(1), (1)(2) and (d) this program is exempt from square footage and toilet requirements. As such, no measurements of indoor and outdoor activity spaces were conducted during today’s visit. There is 1 other licensed facility operating on the same premises. Per Applicant, children will not be co-mingled. A schedule for use of the outdoor play areas will be coordinated with other programs and school administration to ensure that children are not co-mingled. Continued on Page Two

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jonathan Tse
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/10/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CATALYST KIDS-ROY CLOUD	FACILITY NUMBER: 414005274
	VISIT DATE: 06/10/2026

NARRATIVE

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LPA inspected Rooms 21 and 22 with Applicant and S1. There are 2 fully charged fire extinguishers that are at least size 2A10BC. There are operational carbon monoxide detectors present. There are smoke detectors installed on the ceilings of each room. There are heating and ventilation controls available for the comfort and safety of children in care. The surface of each room was observed to be clean and free of debris.

Per Applicant, since the classrooms are in use during the regular school day, facility staff will conduct health and safety checks of each classroom on a daily basis. This will include the placement of child safety locks and outlet covers. These locks and covers will be removed at the end of each day. There is a first aid kit that was observed to contain required materials. There is an emergency bag present.

Rooms 21 and 22 were observed to contain age-appropriate toys and learning materials. Per Applicant, materials and equipment will be kept in a storage room and set up in the classrooms prior to children’s use of the rooms. Snacks will be provided by the facility or provided from the school district. There are water fountains in each classroom. A water filter will be used to provide drinking water for children. The facility will be using a boy’s bathroom and a girl’s bathroom. Handwashing sinks and toilets were observed to be operational. Stalls provide privacy for children using toilets. Per Applicant, staff will conduct checks of the bathrooms prior to use by children.

Medications will be stored in a lockbox that is accessible to staff. Storage of medication was discussed. There are hooks present for children to store their belongings. An isolation area will be set up in Room 22 that will allow for supervision of the child. Children will be signed in electronically, and paper sign-in/out sheets will be available as a backup. The facility will use the Hubbe application to document sign-in/out.

The outdoor play areas (Upper and Lower) were observed to contain play structures and shaded rest areas. Play structures are cushioned with resilient padding. LPA advised that an age rating for the play structure in the Upper Play Area be acquired. The play structure in the Lower Play Area is rated for children from the ages of 5-12 years. Drinking water will be made accessible for children during outside play. The play areas are enclosed by fences. There are no swimming pools or other similar bodies of water present. There will be no firearms or weapons stored in the facility.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jonathan Tse
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/10/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CATALYST KIDS-ROY CLOUD	FACILITY NUMBER: 414005274
	VISIT DATE: 06/10/2026

NARRATIVE

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Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA reviewed with applicant the LIC 311A, Records to be Maintained at the Facility, for child’s records, personnel records, administrative records, and documents to be posted. Entrance Checklist was provided to the applicant.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters, and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jonathan Tse
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/10/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CATALYST KIDS-ROY CLOUD	FACILITY NUMBER: 414005274
	VISIT DATE: 06/10/2026

NARRATIVE

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If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Prior to approval of licensure, the following is required:

1) Review and approval of toilet waiver request
2) Review and approval of outdoor activity space request
3) Clarification of age rating for Upper Play Area play structure
4) CAB review and approval
5) Management review and approval

Exit interview conducted and report was reviewed with the applicant, Alyssa Scholes.

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jonathan Tse
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/10/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026

LIC809 (FAS) - (06/04)

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