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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020744
Report Date: 08/11/2021
Date Signed: 08/23/2021 11:02:16 AM

Document Has Been Signed on 08/23/2021 11:02 AM - 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BRIGHT STARS ACADEMYFACILITY NUMBER:
198020744
ADMINISTRATOR:FLORES, MARIAFACILITY TYPE:
830
ADDRESS:13628 LOMITAS AVE.TELEPHONE:
(626) 383-8162
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY: 22TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/11/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maria & Miguel FloresTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Cynthia Reyes, conducted an announced pre-licensing site Inspection to inspect and measure the requested Infant component for capacity determination. LPA met with Maria & Miguel Flores, Owners. Due to COVID- 19 precautionary measures were taken during the entire inspection and all individuals present during this inspection wore appropriate personal protective equipment. The applicant is requesting a total capacity of 22, having 12 Infants and a toddler option of 10 toddlers. The facility is also requesting a preschool (198020743) and school age (198020743) license. The days & hours of the infant and toddler license will be Monday- Friday 6:30 AM-6:30 PM.

At 10:10 AM, LPA began the tour of the facility with Maria & Miguel Flores, beginning at the gate door located on the side of the facility from the parking lot. Maria states infant parents will enter and exit the gate and walk along the walk way to the back of the facility to the Infant front door, however during Covid parents will sign the child in/out (Clean pins will be available and a container for used pins), outside of the front door where temperatures and use of hand sanitizer will be conducted. Parents will not enter the class rooms at this time unless they request to enter, which at that time all precautionary measures will be taken for that individual entering. Facility staff will walk the child inside the class room and bring the child out at pick up time. LPA observed a parent board outside by the sign in/out area and inside the class room visible for all to see with all licensing documents and Covid-19 posting. Facility was observed to be adhering to local public health guidelines. (According to CDC guidelines, children under the age of (2) are not required to wear masks.)

The Directors office will be used as an ill/isolation area and has a mat for a child to rest if needed. Ill children will use the staff bathroom located in the infant class room. (LPA requested for Owner to find another bathroom for ill children to use). The isolation area will be used by all components (Infant/Toddler/Preschool & School age). There is no staff lounge, however staff can use the kitchen or the Directors office if needed. Owner states will look into finding a way to have a staff lounge, isolation area and bathroom other then what was mentioned. Continued on next page
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2021
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRIGHT STARS ACADEMY
FACILITY NUMBER: 198020744
VISIT DATE: 08/11/2021
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10:30 AM, The tour continued as the LPA was guided to the outdoor play area. The infants have their own out door play yard, however it needs to be self contained by the owner adding a gate around it for separation from the preschool yard. The infants will access their own play yard by using the walk way from their front door. The owner states will add a gate to separate the walk way from the preschool yard to prevent children from commingling. LPA also toured the Toddler yard which is its own self contained area. Water jugs with disposable cups or labeled bottles will be used for each infant & toddler while outdoors. LPA observed age appropriate outdoor toys and play equipment to be clean safe and in good repair, as well as adequate shade is available. All areas around play equipment and slides are cushioned with material to absorb a fall. Measurements were taken of the outdoor play yards and the total outside capacity allows for 9 Infants and the toddler yard allows for 16. LPA advised the owner Maria that the children need to be within the direct care and supervision, including visual observation and supervision of the teacher(s) at all times.

11 AM Licensing staff was then guided through the proposed infant classroom and LPA observed a separate 4 foot high wall with door separating the napping area with 4 cribs, 2 cots/mats, a changing table with cushioning with 3" sides with a sink within arms reach and an adult rocking chair. The napping room also has a refrigerator available for storing infant formula, bottles, and infant food. The staff rest room is located in the infant room and will be used to dispose of solid waste. The Toddler room was also toured and for both infant and toddler rooms, play equipment, furniture and materials were inspected to be in good repair as well as for cleanliness, safety and age appropriate. There is a fully equipped first aid kit available in each classroom. Individual storage space was observed to be available for each child. Parents will bring a blanket and the facility will provide a sheet for the week and linen will be taken home each week to be cleaned. Facility has extra linen and food available if needed. Facility will wash sheets each week. LPA did not observe any baby walkers, baby bouncers or baby saucers in the facility. LPA discussed individual Feeding Plans to be kept on file for each infant/toddler. LPA advised, Infant Needs and Services Plan need to be on file for infants and toddlers. Teachers present must have proof of the required infant units on file and meet the qualification requirements.

Infant Needs and Services Plan: The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. Infant Care: Applicant advised to sleep infants where they can be directly supervised at all time. LPA advised against sleeping infants in a separate room. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep concepts were provided. LPA discussed PIN 20-24-CCP.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRIGHT STARS ACADEMY
FACILITY NUMBER: 198020744
VISIT DATE: 08/11/2021
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Page 3 Continued

Telephone service, heating, lighting and ventilation were evaluated. Napping equipment, mat/cots were inspected for good condition, appropriate storage and cleanliness. Highchairs, feeding tables, trays, changing tables, cribs & bedding identification were inspected. Storage for children's belongings. Availability of drinking water was reviewed. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, paper towels, toilet paper, area safety and sanitation. Toys observed to be clean and age appropriate.

First Aid supplies were inventoried and are kept in each class room. Carbon monoxide detectors and smoke detectors are present and are in operable condition in the facility. Smoke and Carbon Monoxide detectors should be checked, and batteries replaced as needed. Fire extinguishers were not serviced (Last date 2020) when the fire inspector approved the fire clearance. The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Hazardous items including poisonous cleaning compounds were observed to be stored inaccessible to children.

This program will provide breakfast, lunch, and a PM snack. Food/snacks will be prepared by the facility daily. Food will be maintained in the facility kitchen. A monthly snack/food menu is available and posted. LPA advised the Applicant to label and date all food, dishes and bottles that are brought from home for proper storage. All kitchen areas/food preparation areas and food storage areas were observed to be clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids.

11:45PM Items discussed during this Inspection:

Licensing does not tolerate the following: Refused Entry to a Facility or Any Part of a Facility is a
violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both.
Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRIGHT STARS ACADEMY
FACILITY NUMBER: 198020744
VISIT DATE: 08/11/2021
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Page 4 Continued

Continued: Items discussed during this Inspection:

Current Children’s Roster LIC 9040: Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This children roster must be updated and available to the licensing agency upon request.
Pediatric First Aid and CPR: At least one person in the facility, along with the Director/Administrator must be trained in Pediatric First Aid and CPR and present in the facility.
Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.
Qualifications and staff files: Educational background, training, and/or experience and all required documents by the department for each staff present must be available for review.
Children’s Records: All required licensing documents must be available for review; including but not limited to, the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. Director advised to visit www.shotsforschool.org for immunization information.
Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or
volunteer at a day care center if he or she has not been immunized against influenza, pertussis, & measles.
Criminal background clearance: LPA advised Director that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check.
Reporting Requirements Section 101212: Changes at the facility must be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. The Director was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

12:10PM Applicants states that any lifesaving medication will be stored in a locked cabinet or the refrigerator in the kitchen that is inaccessible to children in care.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRIGHT STARS ACADEMY
FACILITY NUMBER: 198020744
VISIT DATE: 08/11/2021
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Incidental Medical Services (IMS): 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. A 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)/ (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.

12:30 PM LPA also consulted with applicant regarding COVID-19 health and safety guidelines on this date. Applicant was provided forms to post via email. Licensing staff observed COVID- 19 postings posted in different areas of the day care for parents, as well as for children at eye level in their class rooms and in the bathrooms on this date. During this inspection LPA also discussed PIN 20-06 CCP, Social and Physical Distancing Guidance and Healthy Practices for Child Care Facilities in Response to The Global Corona virus (COVID-19) Pandemic Written in Collaboration with The California Department of Education. LPA will send the applicant the Child Care Covid-19 Self-Assessment guide. The applicant will fill out and send the department a copy by the correction date. LPA will discuss with applicant once received back.

LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

Based on the LPA observation, the following corrections need to be corrected before a license can be granted.


1) Need gate to separate the outside play yard & walk way. 2) Fire Extinguisher serviced. 3) Final file review
4) Outside parent board with canopy. 5) Signs on room doors. 6) Toddler bathroom.

Based on LPA measurements taken on this date, the capacity will be approved for 6 Infants and 9 Toddler
A fire clearance was approved on 03/01/2021 and on file for a capacity of 12 Infant & 10 Toddlers.

1 PM, Exit interview was conducted in person with Maria Flores. A copy of this report and Appeal Rights were given and discussed, signed and printed on this date. Consultation regarding the licensing state laws and regulations, were conducted through out this inspection.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
LIC809 (FAS) - (06/04)
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