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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700205
Report Date: 09/17/2024
Date Signed: 09/17/2024 01:56:46 PM

Document Has Been Signed on 09/17/2024 01:56 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:A RISING STAR ACADEMY CHILDCARE CENTER, INC.FACILITY NUMBER:
376700205
ADMINISTRATOR/
DIRECTOR:
DANIELLE STRICKLANDFACILITY TYPE:
830
ADDRESS:169 ROYMAR ROADTELEPHONE:
(760) 439-3344
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 8DATE:
09/17/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:01 AM
MET WITH:Deseree ArmsteadTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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On 09/17/2024 at 11:01 AM, Licensing Program Analysts (LPAs) Sumayya Habeebulla and Kelly Gerth conducted an unannounced visit to the facility. LPA Habeebulla conducted a separate case management report for this visit.

During the visit, LPA Habeebulla reviewed staff files, reviewed documents, and spoke to facility representative Deseree Armstead. It was noted during the file review that S1, S2, and S3 who were the only staff present upon LPAs arrival did not hold a valid CPR & First Aid training. The training present on file had expired and were not renewed as of this date. LPAs inquired with facility owner who stated that the facility is currently working on renewing staff CPR & First Aid training.
Additionally, it was noted during file review that S2, and S3 did not renew their Mandated Reporter training. The certificates present on file were expired.

During the tour of the infant classroom, it was observed by LPAs that the sheets used on the mattresses for the cribs were not tight fitting. LPAs observed three mattresses with loose fitting sheets, as per facility representative the sheets are provided by the parents. Facility representative was informed that the sheets are required to be tight fitted and the facility is responsible in ensuring it fits the mattress tightly. As per facility reports it was noted by LPAs that facility was given a technical violation dated 09/20/2023 by LPA Messerschmidt during the last visit for loose fitting sheets on mattresses used in the infant classroom.

For the above reasons, the facility is being cited for deficiencies, See LIC809D for cited deficiencies of the California Code of Regulations, Title 22 and Health & Safety Code.

An exit interview was conducted with facility owner Ms. Deseree Armstead. The appeal rights were discussed and provided along with a copy of this report to facility owner Ms. Deseree Armstead, on this date. A Notice of Site Visit was also provided and must be posted for 30 days.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2024
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 09/17/2024 01:56 PM - It Cannot Be Edited


Created By: Sumayya Habeebulla On 09/17/2024 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: A RISING STAR ACADEMY CHILDCARE CENTER, INC.

FACILITY NUMBER: 376700205

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/18/2024
Section Cited
CCR
101439.1(b)(1)

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(b) A crib or portable-crib meeting ... (1) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. This requirement is not met as evidenced by:
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Licensee agrees to review Infant safe sleep regulations with staff and submit a written statement with signatures along with pictures of mattresses with tightly fitted sheets by the POC due date of 09/18/2024.
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Based on observation, the licensee did not comply with the section cited above in ensuring the mattresses used by infants had tight fitting sheets. >>>
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>>> LPAs observed three mattresses with loose fitting sheets which poses an immediate health, safety or personal rights risk to persons 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:Carlos Martinez
LICENSING EVALUATOR NAME:Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:
DATE: 09/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/17/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/17/2024 01:56 PM - It Cannot Be Edited


Created By: Sumayya Habeebulla On 09/17/2024 at 12:58 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: A RISING STAR ACADEMY CHILDCARE CENTER, INC.

FACILITY NUMBER: 376700205

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/23/2024
Section Cited
HSC
1596.8662(b)(1)

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(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider... shall complete the mandated reporter training ... shall complete renewal mandated reporter training every two years...mandated reporter training. This requirement is not met as evidenced by:
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Facility Representative will submit Mandated reporter certificates for S2 & S3 to the department by the POC due date of 09/23/24 via email.
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Based on record review, the licensee did not comply with the section cited above in ensuring S2 and S3 renewed their mandated reporter trainings which poses a potential health, safety or personal rights risk to persons in care.
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Type B
09/23/2024
Section Cited
CCR101216(f)

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(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 childcare center or offsite for center activities. This requirement is not met as evidenced by:
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Facility Representative agrees to ensure there will be atleast one satff with a valid CPR & First Aid training present during operational hours and submit an EMSA approved training for one staff to the department by the POC due date of 09/23/24 via email.
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Based on record review, the licensee did not comply with the section cited above in ensuring one staff with CPR & First Aid training was present at the facility during operational hours which poses a potential health, safety or personal rights risk to persons 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:Carlos Martinez
LICENSING EVALUATOR NAME:Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:
DATE: 09/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/17/2024


LIC809 (FAS) - (06/04)
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