343624430-12-20-2022-03-CC-ATIY-CMAUUK-20221220145340

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343624430
Report Date: 12/20/2022
Date Signed: 12/20/2022 02:53:49 PM

Document Has Been Signed on 12/20/2022 02:53 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	RISING STAR		FACILITY NUMBER:	343624430
ADMINISTRATOR:	UNKNOW, UNKNOWN		FACILITY TYPE:	830
ADDRESS:	2530 TRACTION AVENUE		TELEPHONE:	(858) 380-7099
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95815
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	12/20/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Diana Hurtado		TIME COMPLETED:	03:30 PM

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	Licensing Program Analyst (LPA) Alize Tillery met with Applicant Diana Hurtado for the purpose of an announced pre-licensing inspection. Applicant requests an infant license to serve 8 infant children from birth to age two years. The program will operate Monday through Friday from 6:30 AM to 6:30 PM. The fire clearance was granted on 08/08/2022. LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, menus, and daily schedule. Applicant stated the facility will provide breakfast, lunch and 2 snacks for infants who are transitioning to solid food. Applicant stated parents will provide milk and formula for the younger infants. INDOOR ACTIVITY SPACE: There is one Infant Classroom. The classroom is not equipped with sufficient amount of infant size furnishing, cubbies, or age- appropriate toys. Applicant stated that there is more equipment and toys in the storage and/or still needs to be delivered. LPA observed 4 cribs and more than 4 small cots. Applicant acknowledges there will be a maximum of 4 infants under 12 months old, due to available cribs. The infant napping area is physically separated from the activity area by a gate that is at least 4 feet tall. The gate does not have sound absorbing material; Applicant stated that the program will either purchase plexiglass or fill in the gate with dry wall. (Report continued on subsequent LIC 809)

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: RISING STAR	FACILITY NUMBER: 343624430
	VISIT DATE: 12/20/2022

NARRATIVE

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There is a first aid kit in the classroom. Medication will be stored in the classroom, out of children’s reach. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no firearms or poisons on the premises. Applicant stated drinking water for indoor and outdoor will be provided via water pitcher and children’s personal cups. Applicant stated that they will have sippy cups for the children that do not have a personal cup. LPA observed a smoke detector and fire extinguisher; LPA did not observe a functional carbon monoxide detector in the facility. LPA did not observe a sign in out system. Applicant stated that they will have a paper sign in and out system at the entrance, until they can switch to electronic sign in and out.

LPA measured the classroom. The total classroom space contains a total of 757.5821 square feet, which will accommodate Applicant's requested capacity for 8 infant children. The facility has a total of 5 sinks and 5 toilets available for children; 2 toilets and 2 sinks are designated for the infant classroom. There is a separate staff restroom is available. There is one changing table in the room. LPA did not observe a sink in reach to the changing table. Applicant stated that they ordered a portable sink to place next to the table. Applicant stated children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is one infant outdoor area that will be separate from the preschool outdoor activity space, by gate. The outdoor play area is surrounded by a fence that is at least four feet tall. LPA pointed out a area in the fence/boarding that needs to be fixed. LPA did not observe a variety of age-appropriate outdoor toys and equipment. Applicant stated that more equipment and toys are in storage and/or still to be delivered. The playground is shaded by the building and large trees.

LPA measured the outdoor activity space. The outdoor play area contains a total of 1293.993 square feet, which will accommodate the applicant's requested capacity of 8 infant children. Applicant stated drinking water will be readily available and accessible via water pitcher and personal cups.

LPA discussed the following: 100% supervision is required at all times; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. AS discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

(Report continued on subsequent LIC 809)

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: RISING STAR	FACILITY NUMBER: 343624430
	VISIT DATE: 12/20/2022

NARRATIVE

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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicant was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

(Report continued on subsequent LIC 809)

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: RISING STAR	FACILITY NUMBER: 343624430
	VISIT DATE: 12/20/2022

NARRATIVE

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The following items are required before a license will be issued:
1. Carbon Monoxide detector
2. Required postings
3. Indoors equipment: cubbies, toys, furniture and sink in arms reach to changing table
4. Outdoor equipment: toys/structures
5. Feeding tables
6. Sign in and out system
7. Refrigerator
8. Fix outdoor fence
9. LPA final review of file

Exit interview conducted and report was reviewed with Applicant, Diana Hurtado.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022

LIC809 (FAS) - (06/04)

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