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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434410753
Report Date: 11/30/2022
Date Signed: 11/30/2022 01:37:01 PM

Document Has Been Signed on 11/30/2022 01:37 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:CATALYST KIDS - FARIAFACILITY NUMBER:
434410753
ADMINISTRATOR:REYES, DENISEFACILITY TYPE:
850
ADDRESS:10155 BARBARA LANETELEPHONE:
(408) 973-0325
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
11/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Denise ReyesTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Marilou Monico met with Denise Reyes, Program Lead, for an unannounced Required - 1 Year Inspection. LPA explained to Denise the purpose of today's inspection. LPA observed all the required posted materials. This facility has no active waivers. The center's operating hours are Monday through Friday 09:00 AM - 6:00 PM. The preschool program is licensed in Rooms 16 & 17. Denise states that no one is currently enrolled in the program but licensee wants to keep the license on active status.

The indoor and outdoor areas of the facility were inspected. Furniture and equipment were observed to be age appropriate and in good condition, free of sharp, loose, or pointed parts. Cleaning products and other items that are dangerous to children were in locked cabinets. Floors were clean. The preschool children will use the girls' bathroom (1 toilet and 2 sinks) and boys' bathroom (2 toilets and 2 sinks) in between Rooms 16 and 17. There is a separate staff stall available located in the girl's bathroom which an isolated child can use if needed.

Denise states that there are no firearms in the facility. Drinking water is readily available for the children indoor and outdoor via individual water bottles and pitchers and disposable cups. The preschool children will use the kindergarten playground next to the Library. The playground has climbing structures with tanbarks as resilient material underneath and around the structures. Shade is provided by trees and building overhang. There were no bodies of water observed.

LPA reviewed two (2) staff files. LPA reminded Site Director that Mandated Reporter Training must be reviewed by all staff every two years.

Continuation on next page:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CATALYST KIDS - FARIA
FACILITY NUMBER: 434410753
VISIT DATE: 11/30/2022
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This facility has Incidental Medical Services – IMS on file. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (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

Site Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email 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/process.

As a result of this inspection, there were no deficiencies cited.

Exit interview conducted and report was reviewed with the Denise Reyes, Program Lead.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022
LIC809 (FAS) - (06/04)
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