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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624430
Report Date: 02/08/2023
Date Signed: 02/08/2023 09:17:24 AM

Document Has Been Signed on 02/08/2023 09:17 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:RISING STARFACILITY NUMBER:
343624430
ADMINISTRATOR:HURTADO, DIANAFACILITY TYPE:
830
ADDRESS:2530 TRACTION AVENUETELEPHONE:
(858) 380-7099
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
02/08/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Diana HurtadoTIME COMPLETED:
09:30 AM
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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.

During today's inspection, LPA toured the infant classroom. The classroom is equipped with sufficient amount of infant size furnishing, cubbies, and age- appropriate toys. LPA observed one changing table in arms reach of a sink. LPA observed 4 cribs and 4 small cots. Applicant stated there are more cots if needed. Applicant acknowledges that the program can only have 4 infants under 12 months old, present at one time, due to available cribs. The infant napping area is physically separated from the activity area by a half wall that is at least 4 feet tall. The wall is sound absorbing material.

LPA observed 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, carbon monoxide detector and fire extinguisher. LPA observed the program's sign in out system near the entrance.

LPA measured the room during the previous prelicensing inspection. The infant room measured at 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. Applicant stated children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

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SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2023
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: 02/08/2023
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LPA toured the infant outdoor play space, which is separated 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 observed the fence to be in good shape. LPA observed a variety of age-appropriate outdoor toys and equipment.

LPA measured the outdoor activity space during the previous prelicensing inspection. The outdoor play area contains a total of 1293.993 square feet, which will accommodate the applicant's requested capacity of 8 infant children.

LPA reminded Director of 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.

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.



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SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: 02/08/2023
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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.

As of today, 2/8/2023, the program is licensed to serve 8 infant children, ages 0 to 24 months, with a maximum of 4 children under the age of 12 months present at one time, due to available cribs.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Alize Tillery
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023
LIC809 (FAS) - (06/04)
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