<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624430
Report Date: 06/06/2025
Date Signed: 06/09/2025 03:26:35 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-20250602125125
FACILITY NAME:RISING STAR PRESCHOOLFACILITY NUMBER:
343624430
ADMINISTRATOR:GERALDINE WARRFACILITY TYPE:
830
ADDRESS:2530 TRACTION AVENUETELEPHONE:
(279) 345-3034
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY:21CENSUS: 4DATE:
06/06/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jennifer De DiosTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are working without appropriate licensing records.
Staff are not following infant safe sleep regulations.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 6/6/2025 approximately at 12:00 PM, Licensing Program Analysts (LPA) Pa Dao Vang met with Staff Jennifer De Dios for a purpose of an unannounced complaint inspection regarding the above allegations.

Upon arrival, LPA observed 4 infants napping and resting in the infant classroom supervised by 1 staff member (S4). S4 stated that she was employed and started working 3 weeks ago at the facility. S4 stated, “There should be a file in the office.” LPA verified there was no personnel file for S4 in the facility. LPA also observed a child sleeping in the crib with a blanket and pacifier. S3 stated the mother requested for the child to have a blanket during nap time. LPA reviewed infant safe sleep regulations with S3.

During today's inspection, made observations, conducted interviews, inspected the classrooms, gathered documentation, and reviewed files.

Continue on LIC9099-C...
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 4
Control Number 03-CC-20250602125125
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: 343624430
VISIT DATE: 06/06/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on LPA observations and interviews conducted, the deficiencies are being cited on page LIC809-D page in accordance with the California Code of Regulations, Title 22. LPA informed Staff Jennifer De Dios, that this report dated 6/6/2025, documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA informed the Staff Jennifer De Dios, to provide a copy of this licensing report dated 6/6/2025, that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. This report and appeal rights were reviewed and provided to Staff Jennifer De Dios. A notice of site visit was also provided to be posted for 30 days.
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
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20250602125125
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: 343624430
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/10/2025
Section Cited
CCR
101439.1(f)
1
2
3
4
5
6
7
(f) Cribs shall be free from all loose articles and objects, including blankets and pillows.

This requierment was met, evidenced by:
1
2
3
4
5
6
7
Licensee will train all staff about infant safe sleep. Licensee will also submit proof of the agenda and signed training to LPA Vang's email by the POC due date of 6/10/2025.
8
9
10
11
12
13
14
Based on observation, interview, record review, the licensee did not comply with the section cited above through LPA's observation of a child sleeping in the crib with a blanket, which posed a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
Type B
07/07/2025
Section Cited
CCR
101217(a)
1
2
3
4
5
6
7
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:
1
2
3
4
5
6
7
Licensee will obtain and created a personnel file for S4 to be kept at the facility by POC's due date. LPA Vang will return to the facility to reveiw the file.
8
9
10
11
12
13
14
Based on observation, interviews, record reviews, the licensee did not comply with the section cited above with no personnel file for S4 at the facility, which posed a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
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: 3 of 4