<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020742
Report Date: 05/24/2024
Date Signed: 05/24/2024 03:25:56 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/02/2024 and conducted by Evaluator Carolyn Tuba
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240502143405
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:17CENSUS: 10DATE:
05/24/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maria FloresTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Not reporting injuries requiring medical attention.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/24/2024, at 9:00 am Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced complaint inspection to deliver findings of the above allegation. A Covid risk assessment was conducted. LPA met with Director/Licensee, Maria Flores. LPA observed 10 children with 2 staff in care.

LPA conducted interviews, documented personal observations, and reviewed records on 5/3/2024. LPA was unable to interview Report Party (RP), however LPA conducted interviews with Director/Licensee, Staff #1 (S1), #2 (S2), #3 (S3), Parent #1 (P1), #2 (P2) and #3 (P3) and Children #1 (C1), #2 (C2). Child #3 (C3) LPA was unable to interview as child did not qualify.

Reporting Party alleged not reporting injuries requiring medical attention. Based on the interviews with P2 it was disclosed that their child had suffered serious injuries and while the facility had notified the parent of the injury they failed to report to the Department, which is required to report any injuries that result in
Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
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 5
Control Number 33-CC-20240502143405
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 05/24/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
medical attention via telephone, fax or email the first 24 hours and submit an Unusual Incident Report (UIR) within 7 days. Director/Licensee, S1 confirmed the injuries and S2 recalled that the child had an injury after having seen a doctor but did not witness the incident of when the child was hurt. Director/Licensee did confirm that she did not notify the Department. LPA consulted with her and she continues to utilize the Department’s advocate and has agreed to be referred to Technical Support Program (TSP). P#3 disclosed that there was an incident of Hand, Foot and Mouth and it had not been reported to the parents. Director/Licensee confirmed that she did not notify parents or the Department. LPA printed an Unusual Incident Report (UIR) for Licensee/Director's reference.

Based on interviews, which were conducted, and records review, the preponderance of the evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, 101227(1) the deficiency is being cited on the attached LIC 9099D.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director/Licensee, Maria Flores.

Page 2 of 2
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20240502143405
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 05/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2024
Section Cited
CCR
101212(d)
1
2
3
4
5
6
7
(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours........
1
2
3
4
5
6
7
LPA consulted with the Licensee of reporting requirements. LPA has asked Licensee to watch the video Reporting Requirements on the CCLD's website: https://ccld.childcarevideos.org/child-care-center-operators/ and agrees to write up what she learned and submit to LPA.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: interviews conducted with parents and staff of children being injured at school and parents sought medical attention. The facility did not report the incidents to the Department. This poses/posed a potential Health and Safety risk to children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5