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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214036
Report Date: 08/10/2022
Date Signed: 08/10/2022 05:22:51 PM

Document Has Been Signed on 08/10/2022 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:SHINING STARS PRESCHOOL & INFANT CENTERFACILITY NUMBER:
566214036
ADMINISTRATOR:ARMIDA LUEVANOFACILITY TYPE:
830
ADDRESS:2480C E. LAS POSAS RD.TELEPHONE:
(805) 987-2132
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 14DATE:
08/10/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Armida LuevanoTIME COMPLETED:
02:35 PM
NARRATIVE
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On August 10, 2022 at 12:05 PM 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 no risk present today. LPA's conducted a tour of the facility. At the time of the inspection there were 2 children and 1 teacher present.

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

Today, Type A and B deficiencies cited under Title 22 Division 12 on LIC8089D,

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 emailed and must remain posted for 30 days.



Exit interview was not conducted with Director and center owners due to hostile environment with facility owners. No reports were signed by facility representative. LPA Villanueva advised that an office meeting will be scheduled with Licensing Program Manager to discuss reports. LPA will be sending a letter to center director and owners with date and time of office meeting.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022
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 08/10/2022 05:22 PM - It Cannot Be Edited


Created By: Laura Villanueva On 08/10/2022 at 12:20 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: SHINING STARS PRESCHOOL & INFANT CENTER
FACILITY NUMBER: 566214036

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/10/2022
Section Cited
CCR
101215.1(m)

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(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866. This requirement was not met by evidence of: Director provided proof of enrollement. Director registered for the training on 7/27/22 and has training scheduled on
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Director shall complete and submit proof of Health and Safety training to the department by 9/10/22.
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8/13/22.
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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: 08/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/10/2022


LIC809 (FAS) - (06/04)
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