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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845945
Report Date: 11/06/2020
Date Signed: 11/06/2020 02:42:42 PM

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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:STAR KIDS PRESCHOOL LLCFACILITY NUMBER:
364845945
ADMINISTRATOR:AVILA,CHRISTY LYNNFACILITY TYPE:
840
ADDRESS:1302 N RIVERSIDE AVENUETELEPHONE:
(909) 990-5985
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:18CENSUS: 0DATE:
11/06/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Christy Avila TIME COMPLETED:
10:00 AM
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Due to COVID-19 pandemic, on November 6, 2020. Licensing Program Analyst (LPA) Timeka Reed conducted a Tele-inspection. Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19, this inspection was conducted via FaceTime application.

LPA toured proposed school age center, inside and out via Facetime with facility administrator, Christy Avila. The days and hours of operation will be: Monday through Friday 6:30 am to 6:00 pm.



School-age Bathroom Fixtures
2 toilets x 15 = 30 children
3 sinks x 15 = 45 children

School-Age Outdoor Activity Area:
LPA has determined that there is sufficient space to accommodate 18 children.

Limiting factor for school-age capacity is applicant requested a capacity of 18. School-age capacity is limited to 18 children.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Timeka ReedTELEPHONE: (951) 970-1161
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2020
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: STAR KIDS PRESCHOOL LLC
FACILITY NUMBER: 364845945
VISIT DATE: 11/06/2020
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The following was observed:
· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Water dispenser is used to supply drinking water in the indoor activity space
· Playground is enclosed by an appropriate fence
· Outdoor activity area is supplied with age and size appropriate equipment
· There are no accessible bodies of water present. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Adequate shade is provided by the building , however facility has easy ups to use if needed. Children also have access to a second playground that also provides shade.
· Drinking water is provided in the outdoor play area by Igloo and disposable cups.
· Food preparation area is equipped with refrigerator, sink with hot and cold running water, storage area, utensils, and adequate amount of food supplies
· The office area will serve as the isolation area for ill children temporarily until parents arrive
· Staff bathroom will also be used as the isolation bathroom and is conveniently located to the isolation area
· Medication will be stored in the staff area and is inaccessible to children
· Storage area for toxins and poisons is locked.
· The Licensee states that they are/are not providing Incidental Medical Services at this time. LPA informed the Licensee that prior to providing any incidental medical services that a written plan must be submitted to the licensing office.
· Medication administration forms were reviewed
· First Aid kit is complete
· Sign in/Sign out record was located near the entry way of the classroom. There is hand sanitizer available as well as clean pens if needed.
· Component II Orientation was completed during this inspection
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Timeka ReedTELEPHONE: (951) 970-1161
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: STAR KIDS PRESCHOOL LLC
FACILITY NUMBER: 364845945
VISIT DATE: 11/06/2020
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· A review of staff records on 11/6/2020 indicates that the Licensee or designated individual who is required to have caregiver background checks have received criminal record and child abuse index clearances or exemptions, all other staff have required documentation in their personnel files.
The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at:
Associations_Disassociations862@dss.ca.gov

· The "Notification of Parent's Rights" (PUB393 dated [8/02]) poster was provided via email to the applicant and they were advised that it must be posted in an area of the facility accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed.
· The Licensee is reminded of reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov,
· The applicant is advised that, once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.
This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Timeka ReedTELEPHONE: (951) 970-1161
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: STAR KIDS PRESCHOOL LLC
FACILITY NUMBER: 364845945
VISIT DATE: 11/06/2020
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An exit interview was conducted and during the interview, the applicant, Christy Avila confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

An exit interview was conducted and a copy of this report was provided to the applicant on this date.

A copy of this report must be made available to the public for 3 years.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Timeka ReedTELEPHONE: (951) 970-1161
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4