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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020743
Report Date: 10/15/2021
Date Signed: 10/15/2021 03:05:26 PM

Document Has Been Signed on 10/15/2021 03:05 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 ACADEMYFACILITY NUMBER:
198020743
ADMINISTRATOR:FLORES, MARIAFACILITY TYPE:
840
ADDRESS:13628 LOMITAS AVE.TELEPHONE:
(626) 383-8162
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
10/15/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Maria FloresTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPAs) Cynthia Reyes and Steven Tung, conducted an announced pre-licensing site Inspection for the purpose of following up to ensure all corrections noted on the licensing report dated 08/11/2021 have been completed. LPA met with Maria Flores, Owner. Due to COVID- 19 precautionary measures were taken during the entire inspection and all individuals present during this inspection wore appropriate personal protective equipment. The applicant is requesting a total capacity of 8 School Age children. The facility is also requesting a Infant (198020744) and preschool (198020742) license. The days & hours of the school age license will be Monday- Friday 6:30 AM-6:30 PM. Applicant stated she made some changes to the facility that may change the capacity she previously requested. LPAs will need to inspect and re-measure the requested School age component for new capacity determination.

At 1:30 PM, LPAs began the tour of the facility with applicant Maria, beginning outside in the school age play yard. LPAs re-measured and observed that the school age yard needs cob webs to be cleaned around the toys before the facility is open for business. The school age children have their own outdoor play yard as the applicant has a fence to separate the yard from the other components play yards. LPAs re-measured the school age yard for capacity determination.

Corrections needed from 08/11/2021 inspected and observed on this date to be completed.

1) Post all Covid-19 posters (LPAs observed on this date).
2) Fire Extinguisher serviced. (LPAs observed service date of 08/04/2021) (Applicant brought extra from another site)
3) Final File Review (LPA completed)
4) Outside parent board with canopy. (LPAs observed on this date)
5) Signs on room doors. (LPAs observed on this date).
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 ACADEMY
FACILITY NUMBER: 198020743
VISIT DATE: 10/15/2021
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The new staff lounge will be used as an ill/isolation area and has a mat for a child to rest if needed. Ill children will use the new staff bathroom located in the staff lounge. The ill/isolation area will be used by all components (Infant/Toddler/Preschool & School age).

Helpful Resources:

Access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. Reporting Unusual Incidents: MPROIncidentReports@dss.ca.gov. CCL Resources for Parents & Providers: https://ccld.childcarevideos.org/ Provider Information Notices (PINs): https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care

Based on LPA measurements taken on this date, the capacity will be approved for 12 School Age Children, once the final corrections are completed.



1) Update Application 200B
2) Updated Facility Sketches for the indoor and the outdoors
3) Proof of pest controls for mosquitos in the facility.
4) Proof of the facility completed clean and set up ready for business.

A fire clearance was approved on 03/01/2021 and on file for a capacity of 08 preschool children.

3:15 PM, Exit interview was conducted in person with Maria Flores. Consultation regarding the licensing state laws and regulations, were conducted through out this inspection
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021
LIC809 (FAS) - (06/04)
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