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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503606760
Report Date: 06/21/2021
Date Signed: 06/21/2021 03:55:49 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LITTLE STAR PRESCHOOL AND CENTERFACILITY NUMBER:
503606760
ADMINISTRATOR:WIGGINS, LINDAFACILITY TYPE:
850
ADDRESS:140 JOHNSON AVENUETELEPHONE:
(209) 847-4628
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY:24CENSUS: 17DATE:
06/21/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Linda WigginsTIME COMPLETED:
04:30 PM
NARRATIVE
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On 6/21/2021 Licensing Program Analyst (LPA), Cynthia Brannon, and LPA, Roman Iglesias, conducted an unannounced inspection. Upon arriving at the facility, LPAs observed pre-school age children commingling with school age children. LPAs took census and concluded that six school age children and four pre-school children were being supervised by Licensee, Linda Wiggins. Two other pre-school children were in the backroom napping and being supervised by staff # 1. LPAs asked Ms. Wiggins the reason for children commingling. Ms. Wiggins indicated children were commingling due to staff #1 being in the backroom with pre-school children. At that point, Ms. Wiggins instructed staff #1 to wake the napping children and take the rest of the pre-school children to a separate room. Additionally, LPAs observed no toilet paper inside the restrooms that the children use. Staff #1 stated that there was no accessible toilet paper inside the restrooms, in that children clog up the toilets and water runs down to the floor. Staff #1 then proceeded to place toilet paper inside each restroom, making it accessible to children. Additionally, Ms. Wiggins indicated she has a volunteer that comes in the mornings from 6:30 am through 7:00 am. Ms. Wiggins reported the volunteer is left alone for approximately 30 minutes, while Ms. Wiggings comes in at 7:00 am. LPAs reviewed the volunteer's personnel file, which lacked required documentation including pediatric First Aid /CPR training.

Per Title 22, Type A deficiency was cited during today's visit. Each enrolled child shall have the Acknowledgement of Receipt signed by parent, in the child's file. Any newly enrolled child for the next twelve months shall have the signed form in their file. Parent(s) of enrolled and newly enrolled children are to be given a copy of today's inspection report. The inspection report shall be posted for 30 days.

Per Title 22, these deficiencies are cited during today's inspection. Appeal rights were provided to licensee/director during today's inspection.

Today's inspection report shall be made available to the public upon request. Notice of site visit was posted before LPAs left facility.

To order forms, please visit our website at ccld.ca.gov.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman IglesiasTELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2021
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 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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LITTLE STAR PRESCHOOL AND CENTER
FACILITY NUMBER: 503606760
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/21/2021
Section Cited

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Personnel Requirements: At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.
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This requirement was not met as evidenced by LPAs observation of the volunteer's personnel file, which lacked required documentation including pediatric First Aid /CPR training. This is an immediate health and safety risk to children in care.
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman IglesiasTELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2021
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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LITTLE STAR PRESCHOOL AND CENTER
FACILITY NUMBER: 503606760
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2021
Section Cited

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Personal Rights: Interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by LPAs observation of no accessible toilet paper inside the restrooms the children use.
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This is a potential health and safety risk to children in care.
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Type B
06/21/2021
Section Cited

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Indoor Activity Space for School-Age Children: In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from space provided for infant care and child care center children. This requirement was not met as evidenced by LPAs observation of
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pre-school children commingling with school age children. This is a potential health and safety risk to children in care.
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman IglesiasTELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2021
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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LITTLE STAR PRESCHOOL AND CENTER
FACILITY NUMBER: 503606760
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2021
Section Cited

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Napping Equipment: Shall be arranged so that each child has access to a walkway without having to walk on or over the cots or mats of other children. This requirement was not met as evidenced by LPAs observation of cots being connected with no space for children to walk on without having to walk on or over the
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other children. This is a potential health and safety risk to children in care.
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Type B
06/21/2021
Section Cited

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Teacher Qualifications and Duties: A teacher shall have completed, with passing grades, units of the education requirements, or shall have obtained a Child Development Assistance Permit issued by the California Commission on Teacher Credentialing. This requirement was not met as evidenced by Licensee informing
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LPAs that opening staff is a volunteer. LPAs reviewed the volunteer's file and observed the file lacked the proper documentation, demonstrating the volunteer meets the requirements of a teacher. This is a potential health and safety risk to children in care.
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman IglesiasTELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4