444410798-7-12-2022-07-CC-CNEN-CG9U97-20220712152240

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444410798
Report Date: 07/12/2022
Date Signed: 07/12/2022 03:22:57 PM

Document Has Been Signed on 07/12/2022 03:22 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	STARLIGHT CHILDREN'S CENTER		FACILITY NUMBER:	444410798
ADMINISTRATOR:	CELEN HERNANDEZ		FACILITY TYPE:	830
ADDRESS:	360 ARTHUR ROAD		TELEPHONE:	(831) 724-3885
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	16	CENSUS: 2	DATE:	07/12/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:18 AM
MET WITH:	Lorena Gonzalez		TIME COMPLETED:	03:35 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), Cortney Nelson, met with Education Manager, Lorena Gonzalez, for an unannounced Required- 1 Year Inspection. Child Care Center is located on the same property as Arthur Road Baptist Church. LPA was granted access to the facility by staff member, Eliana Madueno, and toured both indoors and outdoors during the inspection. Upon arrival, there were 2 toddlers and 3 staff (2 teachers/1 assistant) present, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility. Hours of operation for the facility are Monday – Friday, 8:30AM-3:30PM. Facility currently has three (3) active waivers on file for playground use, bathroom use, and electronic sign-in and out. LPA observed all waivers posted in the facility and conditions for all waivers were followed during todays visit. Toddler and infant components located at the facility are in separate rooms and do not co-mingle. During todays inspection, LPA was notified by Lorena that the infant side of the facility (Room 1) was closed due to a COVID exposure. Toddler side (Room 2) was still open for care. LPA reminded Lorena of the reporting requirement timeline for COVID cases/exposures and temporary closures at child care facilities. Lorena was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. LPA reviewed electronic sign-in/out sheets and childrens roster during today’s inspection. LPA advised Lorena that sign-in/out should have full legal signature, no initials. Lorena states that the facility does not currently have any children in care who require Incidental Medical Services and does not administer medication at this time. There are are no weapons or firearms on the premises.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: STARLIGHT CHILDREN'S CENTER	FACILITY NUMBER: 444410798
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/12/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101239(f)(1)

Fixtures, Furniture, Equipment and Supplies

(f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above for waste container located in shared bathroom, which does not have a tight-fitting lid for solid waste, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/12/2022
	Plan of Correction
1 2 3 4	Licensee will purchase new waste container that has a tighfitting cover for the bathroom by 7/13/2022 and submit photo of it to Licensing. Waste container was fixed during todays inspection.

Type B

Section Cited

CCR

101174(a)

Disaster and Mass Casualty Plan

(a) Each licensee shall have a disaster and mass casualty plan of action. The plan shall be in writing and shall be readily available. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above for both Room 1 & 2., which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/14/2022
	Plan of Correction
1 2 3 4	Licensee will submit updated Emergency Disaster Plan (LIC610) for both Room 1 & 2 and post in the rooms by 7/14/2022. LPA advised that LIC610 should be updated at least once per year to reflect current staffing at the facility and their roles/responsibilities in an emergency.

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: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/12/2022 03:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: STARLIGHT CHILDREN'S CENTER	FACILITY NUMBER: 444410798
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/12/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238(g)(1)

Buildings and Grounds

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1) Storage areas for poisons shall be locked. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above in 3 locations on the infant side of the facility (Room 1), which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/13/2022
	Plan of Correction
1 2 3 4	Licensee will remove laundry detergent located under baby changing table outside, bleach under sink in the main room, and lock the cabinet in the bathroom by 7/13/2022. LPA advised that bleach and laundry detergent must be stored in a locked storage area.

Type B

Section Cited

CCR

101439(g)

Infant Care Center Fixtures, Furniture, Equipment and Supplies

(g) Furniture shall be maintained in good repair and safe condition. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above for 2 fixutres at the facility, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/15/2022
	Plan of Correction
1 2 3 4	Licensee will submit work order and plan of action for laundry machine that is not functioning by 7/15/2022. Details will include how washing of bedding and similar material will occur until it is fixed. Sink located near outside changing table does not work and should be repaired before changing table is used again.

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: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: STARLIGHT CHILDREN'S CENTER	FACILITY NUMBER: 444410798
	VISIT DATE: 07/12/2022

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Child Care Centers, Section 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice 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

Inside the facility, there is a 3A40BC fire extinguisher (serviced 1/2022), functioning smoke and carbon monoxide detector located in both rooms. Last emergency drill was conducted on 6/10/2022 for both rooms. In the kitchen there is a 3A40BC fire extinguisher that was last serviced 2/2019, which LPA advised servicing.

Infant side of the facility (Room 1) was not in use during todays inspection. LPA observed toys are safe and do not have sharp edges or small parts that may pose a choking hazard. Infant changing table was observed to be padded, within arms reach of a sink, in good repair and safe condition. One infant changing table located in an outside area does not have sink within arms reach as it is currently not functioning. LPA advised baby changing table is not used again until sink is repaired. Cribs used by the infants are free from loose articles, covered with a fitted sheet, and there are no objects hanging above or attached to the crib. The floors are clean and free of tripping hazards. Outside area for infants is appropriate with crawling mats, sensory tables, covered sandbox, and shade is provided by building overhang. Area for infants is physically separated from the outside area for toddler component. No outdoor bodies of water observed at the facility.

Toddler side of the facility (Room 2) was in use during todays inspection and observed to have sufficient toys and materials for children. There is a wall heater located in the room that is barricaded and safe for children. Toys and furniture are age-appropriate and in good condition. Water is provided to the children from filtered water dispenser and cups labeled with children's names. Outside area for the toddlers was observed to be fenced in with shade provided by canopy and building overhang. There is a covered sandbox for children's use. There is additionally a functioning sink and diaper changing table located outside for staff/children's use.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: STARLIGHT CHILDREN'S CENTER	FACILITY NUMBER: 444410798
	VISIT DATE: 07/12/2022

NARRATIVE

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LPA discussed the safe sleep regulations with Lorena and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

Food is provided by the facility and is stored, prepared, and served in a safe and
healthful manner to the children. Facility offers full day program and provides breakfast, lunch, and midafternoon snack to children. Menu is in writing and posted at least one week in advance, accessible to authorized representatives. The kitchen and storage area is clean and free of litter and rubbish.

2 children’s files were reviewed during today’s inspection and all required documents were present. 3 staff files (2 teachers/ 1 assistant) were reviewed and most required documents were present. There is at least one staff member present with current CPR/First-Aid that expires 2/22/2023 and current Mandated Reporter Training that expires 3/3/2024. LPA reminded Lorena that the Mandated Reporter Training must be renewed by all staff every 2 years.

Lorena understands that the teacher- director shall be on the premises during the hours the center is in operation and that infants at the center shall be visually supervised at all times. There shall be at least one person with valid CPR and First-Aid certifications on site at all times or present during off site activities, such as field trips.

Exit interview conducted and report was reviewed with the Education Manager, Lorena Gonzalez.

As a result of today’s inspection, deficiencies were cited, see 809-D.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/12/2022 03:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: STARLIGHT CHILDREN'S CENTER	FACILITY NUMBER: 444410798
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/12/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101212(d)(1)(E)

101212 Reporting Requirements (d) Upon the occurrence...a report shall be made to the Department by telephone or fax within the Departments next working day. In addition, a written report...shall be submitted... within seven days following the occurrence. (1) Events reported shall include... (E) Epidemic outbreaks. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above for reporting of COVID cases and exposures, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/15/2022
	Plan of Correction
1 2 3 4	Licensee will submit written report for all COVID cases at the facility that have not been reported to Licensing by 7/15/2022. This includes COVID cases that were reported to Licensing in 1/2022 that did not have any additional follow-up reports submitted.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
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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: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

LIC809 (FAS) - (06/04)

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