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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020742
Report Date: 05/31/2024
Date Signed: 05/31/2024 05:22:50 PM

Document Has Been Signed on 05/31/2024 05:22 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/
DIRECTOR:		FLORES, MARIAFACILITY TYPE:
850
ADDRESS:13628 LOMITAS AVE.TELEPHONE:
(626) 295-2110
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY: 17TOTAL ENROLLED CHILDREN: 17CENSUS: 8DATE:
05/31/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:45 PM
MET WITH:Maria FloresTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
NARRATIVE
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On May 31, 2024, Licensing Program Analysts (LPAs) Carolyn Tuba and Priscilla Ochoa conducted a case management inspection due to a prior visit conducted on 5/3/2024. A COVID risk assessment was conducted. LPAs met with Director, Maria Flores and observed 8 children with 2 staff members outside on the playground.

During a prior visit done on 5/3/2024 LPA, Carolyn Tuba was interviewing the Director and asked about the LIC 9224 Acknowledgment of Receipt of Licensing Reports, if parents from the preschool component had signed and been given the two (2) Type-As that had been issued on 3/18/2024 and on 3/25/2024, along with the Licensing Reports. Director stated that only a few had signed them but didn’t have any further explanation. LPA explained that they require signature from parents for each child enrolled and for any new enrollments for an entire year from the date that the citation was issued.

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.



LPA informed Director that an office meeting will be scheduled with the Department, at a future date and time and will be held at the Regional Office.

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.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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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Document Has Been Signed on 05/31/2024 05:22 PM - It Cannot Be Edited


Created By: Carolyn Tuba On 05/31/2024 at 04:38 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: 05/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/07/2024
Section Cited
CCR
101218.1(b)(4)

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101218.1 Admission Procedures and Parental and Authorized Representative's Rights (4 To review at the child care center, reports of licensing visits and substantiated complaints against the licensee made during the last three years in accordance with Health and Safety Code Section 1596.859.
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Director will provide copies of all signed by parents or guardians of children enrolled in the preschool program of the LIC 9224 forms. This is for the Type-A issued on 3/18/2024 & 3/25/2024 including today's Type-A on 5/31/2024.
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This requirement is not met as evidenced by: interviews conducted with Director and record review that Director could not produce signed LIC9224 forms from all current parents. This poses/posed a 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: 05/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2024


LIC809 (FAS) - (06/04)
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