376701246-8-20-2021-10-CC-PBER-C74UFM-20210922153256

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701246
Report Date: 08/20/2021
Date Signed: 08/20/2021 01:39:22 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/11/2021 and conducted by Evaluator Otsanya Cameron

COMPLAINT CONTROL NUMBER: 10-CC-20210611145340

FACILITY NAME:	OCEANSIDE SHINING STARS PRESCHOOL		FACILITY NUMBER:	376701246
ADMINISTRATOR:	CHRISTINA CRUZ		FACILITY TYPE:	850
ADDRESS:	1122 SOUTH COAST HIGHWAY		TELEPHONE:	(760) 435-0713
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92054
CAPACITY:	28	CENSUS: 19	DATE:	08/20/2021
		UNANNOUNCED	TIME BEGAN:	12:57 PM
MET WITH:	DIrector		TIME COMPLETED:	01:35 PM

ALLEGATION(S):

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Staff inappropriately handled day care child.
Day care child sustained an injury while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Otsanya Cameron arrived at the facility to deliver findings for the above-mentioned allegations. LPA met with Director (Mckenna Shiver), toured the facility, and confirmed census of 19 children.

It was alleged that, daycare child sustained an injury while in care, staff inappropriately handled day care child.

During the investigation, LPAs interviewed all pertinent parties. On 6/10/21, Oceanside Police Department received a call reporting a child with an abrasion under the right eye. Interviews revealed this incident occurred on 6/9/21. Staff reported a child in care drew on their own face with a black permanent marker ( around the eye). To remove the markings from the child’s face, staff rubbed the area profusely, leaving the area red and irritated. Interview with staff revealed because of picture day, staff covered the area with their own personal make-up to mask the irritated area.
Continued on LIC 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya Cameron	TELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20210611145340

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: OCEANSIDE SHINING STARS PRESCHOOL	FACILITY NUMBER: 376701246
	VISIT DATE: 08/20/2021

NARRATIVE

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Staff initially denied applying makeup on the child ‘s face when questioned by supervisor and the parent of the child, but later admitted to applying make up to cover the irritated area and the marker. An Investigation completed with Oceanside Police Department revealed no criminal action will be taken and no further action is required.

Based on observations and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation( is found to be SUBSTANTIATED. California Code of Regulations Title 22, Division & Chapter number 101223(a)(1) are being cited on the attached LIC 9099D. This poses a potential health and safety risk to the children in care.

An exit interview was conducted, and a copy of this report, and appeal rights, were reviewed with and provided to Licensee Shams Nassar and Director Mckenna Shiver whose signature on this form confirm receipt of the above-mentioned documents.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya Cameron	TELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20210611145340

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: OCEANSIDE SHINING STARS PRESCHOOL	FACILITY NUMBER: 376701246
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/20/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/20/2021 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	a) The licensee shall ensure that each child is accorded the following personal rights (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Staff training has been conducted on personal rights and parental rights, safety prevention on 6/21/21 all current staff signed meeting sign in sheet acknowleging training received.
	8 9 10 11 12 13 14	Based on interview with staff S1 attempted to rub permanent marker off C1 because of a school event. The marker did not come off so S1 tried to cover up the permanent marker with S1’s own makeup. This poses a potential health and safety risk to residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya Cameron	TELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021

LIC9099 (FAS) - (06/04)

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