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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 570312670
Report Date: 08/29/2024
Date Signed: 09/04/2024 10:22:12 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 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
06/13/2024 and conducted by Evaluator Jennie Tedlos
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240613165041
FACILITY NAME:CATALYST KIDS - ROBERT E. WILLETTFACILITY NUMBER:
570312670
ADMINISTRATOR:SAVANAH COVARRUBIASFACILITY TYPE:
840
ADDRESS:1207 SYCAMORE LANETELEPHONE:
(530) 758-8342
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY:70CENSUS: 4DATE:
08/29/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Alex LuTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff did not prevent a day-care child from causing injury to another child in care.
Staff did not prevent a day-care child from bullying another child in care.

***This report is amended from an original report dated 8/29/24.***
****Teacher, Zoe Smith, signed today's amended report on 9/4/24.*****
INVESTIGATION FINDINGS:
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On August 28, 2024, Licensing Program Analyst (LPA) Jennie Tedlos met with Lead Teacher, Alex Lu to deliver the findings of the complaint investigation regarding the above allegations. LPA observed 4 children supervised by 5 staff.

It was alleged that staff did not prevent a day-care child from causing injury to another child in care. It was disclosed through staff interviews that while under the supervision of staff at the facility, a child (Child 1) caused serious injury to another child, Child 2, which required serious medical attention. While the supervising staff was able to deescalate the altercation, Child 1’s behaviors have caused and continue to cause an unsafe environment to children in care. Staff has reached out to Catalyst Kids Administration for support regarding Child 1’s behaviors in the prior to and following the incident.

Report continues on 9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
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 3
Control Number 53-CC-20240613165041
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CATALYST KIDS - ROBERT E. WILLETT
FACILITY NUMBER: 570312670
VISIT DATE: 08/29/2024
NARRATIVE
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It was alleged that staff did not prevent a day-care child from bullying another child in care. It was revealed through staff interviews that the facility is aware that Child 1 had been using verbal insults and physical violence towards other children in care. Interviews with children at the facility corroborate this allegation. The facility has reached out to Catalyst Kids Administration for support and has attempted to implement positive reinforcement, redirection, bonding activities, increased supervision or shadowing, and discussions with Child 1 about emotions. However, according to staff, parent, and children’s interviews, Child 1’s behaviors have continued.

Based on interviews, file review, and observations conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Two Type-A Deficiencies are cited on a subsequent 9099-D page.

Upon receipt of Type A citations, the facility shall post and provide copies of the LIC 9099D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed LIC 9224, Acknowledging Receipt of Licensing Reports LIC 9099D in each child's files.

An exit interview was conducted, and the report was reviewed with the Lead Teacher, Alex Lu.

***This report is amended from an original report dated 8/29/24.***
****Teacher, Zoe Smith, signed today's amended report on 9/4/24.*****
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20240613165041
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CATALYST KIDS - ROBERT E. WILLETT
FACILITY NUMBER: 570312670
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
08/30/2024
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights:..(3) To be free from... infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions ....
This regulation was not met as evidenced by:
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The facility has reached out to Catalyst Kids Administration for support. The facility staff will watch CCLD training video on Children's Personal Rights and send staff signatures to LPA stating that staff has completed the training...
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LPA learned that under the supervision of facility staff, Child 1 caused injury to Child 2 which required serious medical attention. This poses an immediate health & safety and personal rights risk to children in care.
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...The facility will provide LPA with a written plan to prevent Child 1 from injuring other children in care.
Request Denied
Type A
08/30/2024
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.
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The facility has reached out to Catalyst Kdis Administration for support. Facility staff has attempted positive reinforcement, redirection, and activities to help with Child 1's behaviors.The facility staff will watch CCLD training...
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LPA learned through staff and children interviews that Child 1 has been using verbal insults and physical violence towards other children in care. This poses an immediate health & safety and personal rights risk to children in care.
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... video on Children's Personal Rights and send staff signatures to LPA stating that staff has completed the training.
***This report is amended from an original report dated 8/29/24.***
****Teacher, Zoe Smith, signed today's amended report on 9/4/24.*****
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: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3