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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214034
Report Date: 06/17/2021
Date Signed: 06/17/2021 03:17:09 PM

Document Has Been Signed on 06/17/2021 03:17 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:SHINING STARS PRESCHOOL & INFANT CENTERFACILITY NUMBER:
566214034
ADMINISTRATOR:MEGHAN SHERMANFACILITY TYPE:
850
ADDRESS:2480C E. LAS POSAS RD.TELEPHONE:
(805) 987-2132
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: 90TOTAL ENROLLED CHILDREN: 0CENSUS: 39DATE:
06/17/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Dominique Ruiz-Infant/Toddler Teacher
Michelle C. Wilcox-Director		TIME COMPLETED:
03:15 PM
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On June 17, 2021 at 1:15 PM Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit to conduct a Required-1 Year inspection. LPA toured the classrooms with Dominique Ruiz, Infant/Toddler Teacher. The center operates Monday through Friday from 6:30 AM to 5:30 PM.

The teacher child ratios were met in every classroom. LPA observed a limited number of toys and equipment for the children to work. The carpets and areas where the children sit were soiled and in need of deep cleaning. An LIC 9102 Advisory Notes-Technical Violation was issued. There were torn books in the bookshelves. LPA did not observe any hazards inside or outside. The yard was completely fenced in. Children are now encouraged to drink water from a cup rather than using the drinking fountains. LPA observed a menu posted. LPA reviewed teacher and child files and found them to be complete. The last fire drill was conducted on 5/12/21.

The preschool program is currently providing Incidental Medical Services Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

A copy of this report and appeal rights were discussed and left with Center Director, Michelle C. Wilcox, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2021
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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