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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801894
Report Date: 06/04/2024
Date Signed: 06/04/2024 12:59:55 PM

Document Has Been Signed on 06/04/2024 12:59 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SHINING STAR PRESCHOOL, NORTHWEST CHURCHFACILITY NUMBER:
103801894
ADMINISTRATOR/
DIRECTOR:		PETRUCELLI, LINDAFACILITY TYPE:
850
ADDRESS:5415 N. WESTTELEPHONE:
(559) 435-0349
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY: 130TOTAL ENROLLED CHILDREN: 130CENSUS: 102DATE:
06/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Linda PetrucelliTIME VISIT/
INSPECTION COMPLETED:
09:15 AM
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On 06/04/24, Licensing Program Analyst (LPA) Anita Tristan arrived at the facility to conduct an unannounced Case Management Inspection. LPA met with Director, Linda Petrucelli. LPA toured the facility inside and out and a census was taken. The purpose of today's inspection was regarding an unusual incident that was reported to the Fresno Childcare Regional Office on 05/13/2024. On 05/10/2024 Child #1 was playing, running after a ball. Child #1 tripped on her feet and fell on the concrete, breaking her arm. Child #1 has returned to care and there have been no further issues.

During today’s inspection LPA examined the fall zone and took pictures. LPA observed play ground to free of tripping hazards.

This appears to be an isolated incident and staff took appropriate measures to address the staff and children in care, following appropriate policies, regulations, and reporting requirements.

Exit interview conducted and report was reviewed with Director, Linda Petrucelli. Appeal rights were provided and discussed.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

A Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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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