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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020742
Report Date: 03/18/2024
Date Signed: 03/18/2024 02:37:19 PM

Document Has Been Signed on 03/18/2024 02:37 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BRIGHT STARS CARE AND EDUCATION CENTER LLCFACILITY NUMBER:
198020742
ADMINISTRATOR:FLORES, MARIAFACILITY TYPE:
850
ADDRESS:13628 LOMITAS AVE.TELEPHONE:
(626) 295-2110
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY: 17TOTAL ENROLLED CHILDREN: 17CENSUS: 11DATE:
03/18/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Maria FloresTIME COMPLETED:
02:50 PM
NARRATIVE
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On 3/18/2024 at 9:00 am an unannounced Case Management – Deficiencies inspection was conducted by Licensing Program Analyst (LPA) Carolyn Tuba who was there to conduct a separate inspection visit and during the course of the investigation separate deficiencies were discovered. LPA entered facility through the main gate and met with Staff who informed LPA that the Director, Maria Flores was currently not here. Director was called and she arrived approximately at 9:45 am. LPA took a census of 11 children in care with 2 staff.

During the visit at approximately 9:10 am. LPA discovered that a staff member was not on the Personnel Facility Clearance Report. LPA called the Department to confirm clearance and discovered there were no results of staff ever having been fingerprinted. LPA asked staff who stated that she had been fingerprinted but Director could not produce any documents that stated the staff had been fingerprint cleared. Staff was instructed to get take Live Scan Form to get fingerprints completed and cannot return to the facility until clearance has been granted. Director stepped in for staff member until additional staff could arrive. During the course of the visit LPA observed that parent dropped off child at approximately 9:15 am who is enrolled in the infant program and staff was currently with preschool age children, which is co-mingling age groups, as well as LPA observed at 11:00 am 3 school-age children were co-mingling on the playground with preschool age. LPA explained to the Director that she currently holds 3 separate licenses (Infant with toddler component, Preschool and School-age) and that children cannot be together and must remain separate during activity time both inside and outside play, as well as during rest or mealtimes. LPA provided Director with Child Care Advocate email address and discussed possible Technical Support Program (TSP) referral. LPA provided Director with Safe Sleep PIN #20-24-CCP and brochure on Safe Sleep and TSP information.

During this visit a civil penalty was assessed. All adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRIGHT STARS CARE AND EDUCATION CENTER LLC
FACILITY NUMBER: 198020742
VISIT DATE: 03/18/2024
NARRATIVE
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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.

The following deficiency listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiency that are being cited need to be cleared to protect the children’s health & safety.

One (1) Type A - A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.



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

Exit interview conducted and report was reviewed with the Director, Maria Flores.
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4
Document Has Been Signed on 03/18/2024 02:37 PM - It Cannot Be Edited


Created By: Carolyn Tuba On 03/18/2024 at 12:36 PM
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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRIGHT STARS CARE AND EDUCATION CENTER LLC

FACILITY NUMBER: 198020742

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/18/2024
Section Cited
CCR
101216(i)(1)

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Personnel Requirements (i)Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall:
(1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations or
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Per Director the staff will get fingerprints completed and will not return to the facility until clearance is granted. Staff will text receipt of fingerprints and clearnace letter once completed.
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This requirement is not met as evidenced by: Based on staff not having clearance or fingerrpints on file. This poses an immediate Health and Safety risk to children 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.
SUPERVISOR'S NAME:Ana Chico
LICENSING EVALUATOR NAME:Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2024


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 04/12/2024 01:07 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 03/25/2024 03:17 PM


Created By: Carolyn Tuba On 03/18/2024 at 12:46 PM
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRIGHT STARS CARE AND EDUCATION CENTER LLC

FACILITY NUMBER: 198020742

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/25/2024
Section Cited
CCR
101161(a)

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Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement is not met as evidenced by: Based on LPA observation of children' who are enrolled under one license are
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Director agrees to keep children separate according to the age group that they fall with in the conditions of the license and to enroll and attend online training of Operations and Recordkeeping Orientation through the Child Care Licensing Department (CCLD). Director will email the completed certificate.
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commingled with children from another license. This poses a potential Health and Safety risk to children 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.
SUPERVISOR'S NAME:Ana Chico
LICENSING EVALUATOR NAME:Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2024


LIC809 (FAS) - (06/04)
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