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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214034
Report Date: 08/09/2022
Date Signed: 08/09/2022 02:39:18 PM

Document Has Been Signed on 08/09/2022 02:39 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:ARMIDA LUEVANOFACILITY TYPE:
850
ADDRESS:2480C E. LAS POSAS RD.TELEPHONE:
(805) 987-2132
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 27DATE:
08/09/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Armida LuevanoTIME COMPLETED:
01:30 PM
NARRATIVE
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On August 9, 2022 at 9:30 AM Licensing Program Analyst's (LPA's) Laura Villanueva and Susana Martinez conducted an unannounced Case Management Deficiencies inspection and met with director Armida Luevano. Prior to entering the facility LPA's conducted a COVID-19 risk assessment, all answers indicated the facility to be COVID free. Together with the director LPA's toured the facility inside and outside. At the time of inspection there were 27 children in care with 3 teachers.

LPA's are following up on deficiencies issued on 6/30/22 by LPA Villanueva. Plan of corrections was not completed.

Today, deficiencies cited under Title 22 Division 12. Technical Advisory was discussed with the director. Appeal rights given.

Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC 809 and LIC 809 D.

THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS.

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



Exit interview conducted and report was reviewed with the Director, Armida.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2022
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 08/09/2022 02:39 PM - It Cannot Be Edited


Created By: Laura Villanueva On 08/09/2022 at 11:03 AM
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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: SHINING STARS PRESCHOOL & INFANT CENTER
FACILITY NUMBER: 566214034

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/09/2022
Section Cited
HSC
101239(n)

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(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.
This requirement was not met as evidenced by: LPA's observed the music structure outside has not been repaired or replaced and masking tape is still present.
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The Director placed masking tape on the wire to temporary keep it off limits to the children. An office meeting will be scheduled.
Type A
08/09/2022
Section Cited
HSC
101238.2(d)(1)

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(d) The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned.
This requirement was not met as evicenced by: LPA's observed the concrete to be uneven causing a tripping hazard.
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The concrete path shall be patched or evened out to make it a smooth surface for children to get through safely. An office meeting will be scheduled.

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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:George Mingle
LICENSING EVALUATOR NAME:Laura Villanueva
LICENSING EVALUATOR SIGNATURE:
DATE: 08/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/09/2022


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 08/09/2022 02:39 PM - It Cannot Be Edited


Created By: Laura Villanueva On 08/09/2022 at 11:08 AM
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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: SHINING STARS PRESCHOOL & INFANT CENTER
FACILITY NUMBER: 566214034

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/09/2022
Section Cited
CCR
1011238.3(b)

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101238.3 Indoor Activity Space
(b) The floors of all rooms shall have a surface that is safe and clean.
This requirement was not met as evidence by; LPA's observed carpets to be stained, ripped and unsecured causing a tripping hazard. Torn rug in the preschool room was not secured.
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Torn rug shall be removed immediately and remaining carpets shall be cleaned or replaced.
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Type B
08/09/2022
Section Cited
CCR101239

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101239 Fixtures, Furniture, Equipment and Supplies
(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.
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Music fixture in yard shall be inaccessible to children.

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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:George Mingle
LICENSING EVALUATOR NAME:Laura Villanueva
LICENSING EVALUATOR SIGNATURE:
DATE: 08/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/09/2022


LIC809 (FAS) - (06/04)
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