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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624429
Report Date: 06/06/2025
Date Signed: 06/09/2025 03:24:28 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/02/2025 and conducted by Evaluator Dao Vang
COMPLAINT CONTROL NUMBER: 03-CC-20250602124455
FACILITY NAME:RISING STAR PRESCHOOLFACILITY NUMBER:
343624429
ADMINISTRATOR:GERALDINE WARRFACILITY TYPE:
850
ADDRESS:2530 TRACTION AVENUETELEPHONE:
(279) 345-3034
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY:23CENSUS: 8DATE:
06/06/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jennifer De DiosTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff are working without appropriate records on file.
INVESTIGATION FINDINGS:
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On 6/6/2025 approximately at 12:00 PM, Licensing Program Analyst (LPA) Pa Dao Vang met with Staff Jennifer De Dios for the purpose of an unannounced complaint inspection regarding the above allegation. LPA observed 8 preschoolers napping and resting in the preschool classroom supervised by 1 staff (S1).

During today's inspection, LPA made observations, conducted interviews, gathered documentation, review files. LPA observed no personnel file for S1. When LPA asked about the personnel file, S1 stated that everything was “done all online” and sent to Licensee.

Based on LPA’s observations, file reviews, and interviews conducted, a deficiency is being cited on page LIC809-D page in accordance with the California Code of Regulations, Title 22. This report was reviewed with Staff Jennifer De Dios. A copy of this report, appeal rights, and a notice of site visit was provided to be posted for 30 consecutive days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 03-CC-20250602124455
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: RISING STAR PRESCHOOL
FACILITY NUMBER: 343624429
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/07/2025
Section Cited
CCR
101217(a)
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101217(a) Personnel Records. Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information.- All personnel records did not contain specified information.
This requirement was not met as evidenced by:
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Licensee will obtain and created a personnel file for S1 to be kept at the facility by POC's due date. LPA Vang will return to the facility to reveiw S1's file.
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Based on observation, interviews, record reviews, the licensee did not comply with the section cited above with no personnel file for S1 at the facility, which posed a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3