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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191609770
Report Date: 06/05/2025
Date Signed: 06/05/2025 04:20:33 PM

Document Has Been Signed on 06/05/2025 04:20 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:STAR - CASTLE HEIGHTSFACILITY NUMBER:
191609770
ADMINISTRATOR/
DIRECTOR:		FIELDS, JAYFACILITY TYPE:
840
ADDRESS:9755 CATTARAGUS AVENUETELEPHONE:
(310) 836-1928
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY: 150TOTAL ENROLLED CHILDREN: 150CENSUS: 84DATE:
06/05/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:LEIGH COHEN, SITE DIRECTORTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 06/05/2025, Licensing Program Analyst (LPA) Lisa Clayton conducted an unannounced Required 3-year Inspection on the school age license for STAR – Castle Heights. LPA met with Site Director Leigh Cohen. LPA observed 10 TK, 17 kindergarteners, and 57 school age (1st – 5th grade) students being supervised and cared for appropriately by 10 fingerprint cleared staff. Hours of operation are as follows: Monday, Wednesday, Thursday and Friday form 2:38pm - 6:00pm and Tuesday from 1:38pm – 6:00pm.

LPA Clayton toured the on limits areas for a Health and Safety inspection.

The Program operates on the Castle Heights Elementary School campus. The program currently operates in the following areas: bungalow 32, bungalow 26, the school auditorium and the yard. The program also utilizes the school lunch area and the area behind the bungalows known as the “art alley” for meals. Site Director stated the children do homework, science, arts & crafts in the classrooms, and sports, dance and recreation on the yard. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. All materials and surfaces accessible to children are toxic free. The isolation area is located in the nurses office in the main building if the nurse is in, but they also use the main bungalow as an isolation area. LPA inspected the outside play area and surface of the outdoor activity space is maintained in a safe condition and is free of hazards.

Site Director reported that the after-school program began using bungalow 26 at the beginning of the current school year (originally licensed for bungalow 31 and bungalow 32, now using bungalows 26 and 32).


NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

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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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: STAR - CASTLE HEIGHTS
FACILITY NUMBER: 191609770
VISIT DATE: 06/05/2025
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LPA Clayton observed the area directly across from the Star Bungalow 32 (previously part of the play yard) to be gated off and under construction. Per Site Director Leigh the school is constructing a 2-story building to replace the bungalows. LPA Clayton reminded Site Director that prior to construction or alterations, the licensee is required to notify the Department of the proposed change(s). LPA Clayton instructed Site Director Leigh to contact the Department and schedule an inspection of the new building prior to use.

The facility provides supper to children in care which is provided by the elementary school. Site Director Leigh reported that in May 2025 the school kitchen was flooded by rain when the roof of the cafeteria and kitchen were being repaired. The kitchen staff are using the indoor cafeteria eating area to store and serve food. Because the kitchen is not being used, the students are being served prepackaged meals. LPA Clayton reminded kitchen staff to put the date on all food once opened and add the expiration date to any food items removed from the original container. Menus are posted monthly. Drinking water is available inside and outside.

LPA Clayton reminded Site Director Leigh that the Department is to be notified in writing prior to any structural changes that reduce the total amount of indoor or outdoor activity space, and/or room additions or changes.

There is pools, ponds or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. LPA observed multiple first aid kits. LPA Clayton reminded Site Director to check First Aid kits for expired products regularly.

The children have access to 1 boy’s bathroom & 1 girls bathroom inside of the main building. All toilets and hand washing facilities are in safe and sanitary operating condition.
NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: STAR - CASTLE HEIGHTS
FACILITY NUMBER: 191609770
VISIT DATE: 06/05/2025
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Facility was observed to have a centralized smoke detector/alarm system, working carbon monoxide detectors and a fully charged 3A40BC Fire Extinguisher in both classrooms. LPA Clayton observed facility disaster drill log.

LPA Clayton reviewed 5 children’s files and observed the files to have current contact information of parents and authorized representatives, and authorization for medical treatment, signed Parent’s Rights and signed Personal Rights receipts.

LPA Clayton reviewed 5 employee files and observed the following:

· Incomplete, missing or expired Mandated Reporter Training certificates

· Missing immunization records

· Missing physical exam forms

Site Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Childcare Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.



Incidental Medical Services (IMS) are being provided and LPA Clayton instructed Director to forward a copy of the Authorization for administration of Medication to the department as soon as possible. For IMS information see PIN 22-02-CCP. 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 (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

LPA Clayton informed Site Director of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: STAR - CASTLE HEIGHTS
FACILITY NUMBER: 191609770
VISIT DATE: 06/05/2025
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Per Title 22, Division 12, Chapter 3, of the California Code of Regulations and/or Health and Safety Codes, Deficiencies were cited, and Technical Violations were issued.


During the exit interview the report was reviewed and a copy of the report and Appeal Rights were provided to Site Director Leigh.

LPA Clayton posted a Notice of Site Visit which must remain posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/05/2025 04:20 PM - It Cannot Be Edited


Created By: Lisa Clayton On 06/05/2025 at 04:03 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: STAR - CASTLE HEIGHTS
FACILITY NUMBER: 191609770

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101212(c)
Reporting Requirements
(c) The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space. Such structural changes shall include, but not be limited to, room additions.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observation of the ongoing construction on the playground, the changes to the cafeteria/kitchen due to the flooding, and changes in classroom, none of which were reported to the Department, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/05/2025
Plan of Correction
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Licensee and Site Director will be sure to report any structural changes and/or construction that reduce the total amount of indoor or outdoor activity space, and/or room additions or changes to the department prior to implementing them. In addition, Licensee and Site Director will report the completiion of the current construction projects immedialtey upon completion.

Section Cited
Deficient Practice Statement
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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.
Karren Starks
NAME OF LICENSING PROGRAM MANAGER:
Lisa Clayton
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2025


LIC809 (FAS) - (06/04)
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