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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430710217
Report Date: 11/19/2025
Date Signed: 11/19/2025 03:04:17 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/13/2025 and conducted by Evaluator Mandeep Kaur
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20251013101741
FACILITY NAME:CATALYST KIDS - CHERRY CHASEFACILITY NUMBER:
430710217
ADMINISTRATOR:LINDSAY MASUDAFACILITY TYPE:
840
ADDRESS:1138 HEATHERSTONE WAYTELEPHONE:
(408) 736-0168
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:140CENSUS: 0DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Lindsay MasudaTIME COMPLETED:
03:18 PM
ALLEGATION(S):
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Staff did not notify a parent of a type A citation.
INVESTIGATION FINDINGS:
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On 11/19/2025, Licensing Program Analyst(LPA) Mandeep Kaur conducted an unannounced follow up complaint investigation. LPA met with Director, Lindsay Masuda and explained to her the purpose of today's investigation: deliver investigation findings. LPA toured the indoor and outdoor areas of the facility and interviewed Director during today's investigation. There were no children present at the facility. LPA conducted complaint investigation comprising of interviews, records review and evidence gathered.

On 10/15/2025, the LPA reviewed the Acknowledgement of Receipt of Licensing Reports (LIC 9224) forms for randomly selected children. LPA observed that the LIC 9224 forms were not signed by the parents of 14 enrolled children within the twelve-month period following the issuance of a Type A deficiency to the facility on 08/20/2024. Director stated that the facility had not provided the Type A deficiency report to all parents of enrolled children within the required twelve-month timeframe and reported that it had been suggested to distribute the report now rather than not share it at all with the enrolled families.
**Continue on next page**
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
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 5
Control Number 07-CC-20251013101741
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CATALYST KIDS - CHERRY CHASE
FACILITY NUMBER: 430710217
VISIT DATE: 11/19/2025
NARRATIVE
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 On 10/15/2025, Regional Director, Kathy Abady stated that the facility had missed providing the Type A citation report to several parents. Based on LPAs record reviews, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

During today's investigation, Type B deficiency issued on the following page:9099-D. Appeal rights were provided.

Exit interview conducted and report was reviewed with Director, Lindsay Masuda.

A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20251013101741
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: CATALYST KIDS - CHERRY CHASE
FACILITY NUMBER: 430710217
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/10/2025
Section Cited
HSC
1596.8595(c)(1-4)
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HSC 1596.8595((c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph (1) of subdivision (a) of Section 1596.893b.(2) Upon enrollment of a new child in a facility...newly enrolling child copies of any licensing report that the licensee has received during the prior 12-month period (3)The licensee shall require each recipient of the licensing report described in paragraph (1) pertaining to a complaint investigation to sign a statement indicating that he or she has received the document and the date it was received.(4)The licensee shall keep verification of receipt in each child's file.

This requirement was not met as evidenced by:
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By Plan of Correction due date, 12/10/2025, Licensee will submit a written statement of understanding of Health and Safety Code Section 1596.8595, along with a declaration confirming completion and receipt of signed LIC 9224 Acknowledgement of Receipt of Licensing Reports forms from all enrolled parents, in compliance with the requirements of AB 633, for the Type A deficiency issued on 08/20/2024, to the Department.
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Based on interviews and record reviews, the licensee did not share nor obtained, completed and signed LIC 9224 Acknowledgement of Receipt of Licensing Reports forms from all enrolled parents for the Type A deficiency issued on 08/20/2024, as required by AB 633. which poses a potential health, safety, or personal rights risk to persons in care.
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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: Mireya Flores
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/13/2025 and conducted by Evaluator Mandeep Kaur
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20251013101741

FACILITY NAME:CATALYST KIDS - CHERRY CHASEFACILITY NUMBER:
430710217
ADMINISTRATOR:LINDSAY MASUDAFACILITY TYPE:
840
ADDRESS:1138 HEATHERSTONE WAYTELEPHONE:
(408) 736-0168
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:140CENSUS: 0DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Lindsay MasudaTIME COMPLETED:
03:18 PM
ALLEGATION(S):
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Staff left a child unattended on a playground.
INVESTIGATION FINDINGS:
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On 11/19/2025, Licensing Program Analyst(LPA) Mandeep Kaur conducted an unannounced follow up complaint investigation. LPA met with Director, Lindsay Masuda and explained to her the purpose of today's investigation: deliver investigation findings. LPA toured the indoor and outdoor areas of the facility and interviewed Director during today's investigation. There were no children present at the facility.

LPA conducted complaint investigation comprising of interviews, records review and evidence gathered. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No dfeficiency issused during today's investigation. Appeal rights were provided.

**Continue on next page**
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 07-CC-20251013101741
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CATALYST KIDS - CHERRY CHASE
FACILITY NUMBER: 430710217
VISIT DATE: 11/19/2025
NARRATIVE
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Exit interview conducted and report was reviewed with Director, Lindsay Masuda.

A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5