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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422026
Report Date: 06/06/2024
Date Signed: 06/06/2024 12:34:28 PM

Document Has Been Signed on 06/06/2024 12:34 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SHOOTING STARS PRESCHOOLFACILITY NUMBER:
013422026
ADMINISTRATOR/
DIRECTOR:		SELINA AKHTERFACILITY TYPE:
850
ADDRESS:7156 REGIONAL STTELEPHONE:
(925) 361-5053
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 10DATE:
06/06/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Licensee, Rupa Dilip TIME VISIT/
INSPECTION COMPLETED:
12:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Jyoti Saini met with licensee Rupa Dilip for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the director. In addition to the owner, three (3) teachers and ten (10) children are present today. During the inspection, The facility owner stated that the facility has hired a new director, Maithili Karyekari. LPA reviewed the package and requested the facility to submit current Mandated reporter training, CPR and first aid certificate and original transcript prior to assigning Ms Maithili as the facility director. The facility operates in one large room, Monday- Friday, 7:30 am – 6:00 pm. The facility was inspected indoors and outdoors today for health and safety hazards, and the following was observed:
There are no bodies of water, firearms, or weapons on the premises. 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 the storage of food and reminded the director that all food must be in original packaging or labeled with an expiration date, ensuring different foods do not cross-contaminate. Cleaning supplies/toxins are stored and inaccessible to children during the inspection. The classroom has appropriate postings. The last Emergency Drill was conducted on 05/13/2024 and is properly logged. The facility uses the Bright Wheel app to sign in and out the children. 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. The children and staff have a separate bathroom. There are three toilets and three sinks available for children. Drinking water is readily available in water bottles brought from home.
The center roster was reviewed, and a copy was obtained. A review of six children's files and three staff files was completed. All staff has a criminal record clearance on file. The opening teacher doesn't have a current Pediatric First Aid/CPR certificate. The director was reminded that the opening and closing staff should have a current Pediatric First Aid/CPR certificate. The medications are stored in the office area.
See next page...
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 06/06/2024 12:34 PM - It Cannot Be Edited


Created By: Jyoti Saini On 06/06/2024 at 10:46 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: SHOOTING STARS PRESCHOOL
FACILITY NUMBER: 013422026

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. The opening teacher, S3, does not have a valid CPR and first aid certificate on the file, which poses a potential health, safety, or personal rights risk to children in care.
POC Due Date: 06/07/2024
Plan of Correction
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The opening teacher, S3, enrolled herself in the first available CPR and first aid class and shared the confirmation number with the LPA via email during the inspection.
Type B
Section Cited
CCR
101227(a)(18)
Food Service
(18) All kitchen, food-preparation and storage areas shall be kept clean and free of litter and rubbish; and measures shall be taken to keep all such areas free of rodents and other vermin.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. LPA observed that the toaster and slow cooker in the kitchen are sticky and full of remnants, which poses/poses a potential health, safety, or personal rights risk to persons in care.
POC Due Date: 06/07/2024
Plan of Correction
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The facility shall ensure that dishes and utensils are kept clean. The facility shall submit the proof ensuring it is safe and sanitary for future use.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Wynn Norona
LICENSING EVALUATOR NAME:Jyoti Saini
LICENSING EVALUATOR SIGNATURE:
DATE: 06/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/06/2024


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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: 06/06/2024
NARRATIVE
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Criminal Record Clearance -

Facility representative was reminded that all adults 18 and over, 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.

Lead Testing –


CCC COMPLETED TESTING
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
Incidental Medical Services (IMS)
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and
administrative records. For IMS information see PIN 22-02-CCP. 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 are available at: https://www.ada.gov/resources/child-care-centers/.
MyChildCarePlan.org
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 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.

The attached two type B deficiencies are cited today and two technical violation 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 representative, Rupa Dilip
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
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