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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422026
Report Date: 05/16/2023
Date Signed: 05/16/2023 11:43:00 AM

Document Has Been Signed on 05/16/2023 11:43 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SHOOTING STARS PRESCHOOLFACILITY NUMBER:
013422026
ADMINISTRATOR:SELINA AKHTERFACILITY TYPE:
850
ADDRESS:7156 REGIONAL STTELEPHONE:
(925) 361-5053
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 24DATE:
05/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:director, Salina Akhter and Owner, Roopa Dilip TIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Director, Selina Akhter for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the director. The owner, Roopa Dilip arrived during the inspection. In addition to the director and owner there are 24 children, head teacher and teacher aid present today. This program currently operates Monday- Friday, 7:30am – 6:00pm. The facility was inspected indoor and outdoor today for health and safety hazards and the following was observed:
There are no bodies of water, firearms, or weapons on the premises. The center is in good condition with proper temperature and ventilation and is free of any hazards. All furniture is in good repair. The Center has age-appropriate toys and equipment. The facility has a waiver for outdoor space, present and visible for review. A first aid kit and a first aid backpack are available. The program provides lunch and snacks to the children in care. LPA reviewed storage of food and reminded director that all food must be in original packaging or labeled with expiration date ensuring different foods do not cross contaminate. Cleaning supplies/toxins are stored inaccessible to children during the inspection. The classroom has appropriate postings. The last Emergency Drill was conducted on 05/08/2023 and is properly logged. LPA reviewed sign-in and out sheet. The center has a complete record of sign-in/out sheets by an authorized pick-up person. There is a working fire alarm system. The room has a working smoke and carbon monoxide detector a fully charged fire extinguisher, and a working telephone available. The children and staff have a separate bathroom. There are 3 toilets, and 3 sinks available for children. The bathrooms appear to be safe, sanitary, and free of any hazardous items. There is drinking water readily available through water bottles brought from home.
The center roster was reviewed, and a copy was obtained. A review of 7 children's files and 4 staff files was completed. All the staff members need to renew Mandated Reporter training. All children have a record of emergency identification information and immunization record on file. All staff has a criminal record clearance on file. The director was reminded that the opening and closing staff should have a current Pediatric First Aid/CPR certificate on file. No children on medications and IMS services are not being provided.

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SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2023
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SHOOTING STARS PRESCHOOL
FACILITY NUMBER: 013422026
VISIT DATE: 05/16/2023
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During inspection,

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.

Incidental Medical Services (IMS) policy was discussed. This facility does not provide IMS (Incidental Medical Services) to children currently. If any IMS is provided, a Plan for Providing 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)/ (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

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.

No deficiencies were cited today however, technical violations were given.

A notice of site visit was given and must remain posted for 30 days

Exit interview conducted and report was reviewed with the facility representatives, Selina Akhter and Roopa Dilip.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023
LIC809 (FAS) - (06/04)
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