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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700571
Report Date: 07/14/2022
Date Signed: 07/14/2022 04:08:59 PM

Document Has Been Signed on 07/14/2022 04:08 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SHINING STARS/TULIP CHILD CARE LLCFACILITY NUMBER:
015700571
ADMINISTRATOR:LI, CHANGCANFACILITY TYPE:
850
ADDRESS:2500 HANSEN ROADTELEPHONE:
(510) 581-5046
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY: 34TOTAL ENROLLED CHILDREN: 34CENSUS: 5DATE:
07/14/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Kiran PatelTIME COMPLETED:
04:28 PM
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On 7/14/2022, a Prelicensing Visit was conducted today by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Applicant, Kiran Patel. The applicant has submitted an application for a CHANGE OF OWNERSHIP for PRESCHOOL license. Also present during today's visit was 1 additional staff member and 5 preschool aged children. A health and safety inspection was conducted inside and outside. The preschool program will operate in 3 classrooms. Facility resides on the property of St. Antonius Coptic Orthodox Church. Operating hours Monday through Friday from 8:00AM - 6:30PM. The Applicant states that no changes to the facility have been made. LPA has obtained measurements from previous report and are as follows:

INDOORS: 1193.06 square feet = 34 children
OUTDOORS: 3742.95 square feet = 49 children

There is a separate staff bathroom located upstairs on the second floor within a Heritage room. Facility has a Heritage registration on file with Department of Education. Applicant understands that heritage and preschool children will not commingle. Facility will utilize an area of Classroom 1 and the staff bathroom will be used for isolation of a sick child. There is a fully stocked first aid kit with all required equipment available. No exit doors were blocked. There is ample toys and furnishings throughout the center for children's use. There are cots available for children.
There are a total of 3 toilets and 6 sinks available for children use. Heating and lighting was adequate. There is ample play space for the children. There are 2 play yards for the preschool aged children. The play structure is currently OFF LIMITS to children in care. Applicant understands that the play structure must be properly anchored and have material that absorbs a fall under any high climbing equipment prior to children use. Applicant is to reach out to LPA once play structure is properly anchored. Until granted approval, visual supervision to ensure children do not utilize play structure is required. The center Director will be Chongcan "Helen" Li and a directors packet with all required documentation was submitted to CCL to complete the application. Children bring their AM/PM snacks and lunch from home. Facility has back up snacks on site should a child forget theirs.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2022
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SHINING STARS/TULIP CHILD CARE LLC
FACILITY NUMBER: 015700571
VISIT DATE: 07/14/2022
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Facility has received an approved fire clearance from Hayward Fire Department on 7/5/2022. Drinking water is available inside and outside. All toilets and hand washing facilities are in safe and sanitary operating conditions. All licensing required documents are posted. 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

Applicants were reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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 discussed the safe sleep regulations with Applicants 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. LPA also informed Applicants of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA reviewed with Applicants the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A license for 34 preschoolers operating out of 3 classrooms will be approved effective today's date, 7/14/2022.


An exit interview was conducted with Applicant, Kiran Patel.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022
LIC809 (FAS) - (06/04)
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