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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603734
Report Date: 08/20/2025
Date Signed: 08/20/2025 03:18:48 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/06/2025 and conducted by Evaluator Ramon Serrano
COMPLAINT CONTROL NUMBER: 08-AS-20250806123637
FACILITY NAME:SHINING STAR ADULT DAY CARE INCFACILITY NUMBER:
374603734
ADMINISTRATOR:GRIGGS, LAURA CASASFACILITY TYPE:
775
ADDRESS:333 E STREETTELEPHONE:
(619) 651-7446
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:30CENSUS: 30DATE:
08/20/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Laura Casas GriggsTIME COMPLETED:
01:59 PM
ALLEGATION(S):
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Licensee is operating beyond the scope of their license.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegation. LPA met with Administrator Laura Casas Griggs and we discussed the purpose of the visit and elements of the complaint.

LPA Debbie Correia investigated the above allegation on August 8,2025. During the initial visit LPA Correia secured pertinent records, conducted a facility tour, and interviewed staff.

It was alleged the facility was over capacity. A review of facility records revealed the facility is licensed to serve a maximum of 30 adult clients between the age of 18 and 59. A review of facility records and staff interviews revealed the facility was over capacity by three (3) clients. Based on a facility record review and staff interviews the above mentioned allegation was determined to be Substantiated. A substantiated finding means the preponderance of evidence was met. An immediate civil penalty in the amount of $500 is being assessed today per Health and Safety Code Section 1569.49 (1)(A)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
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 08-AS-20250806123637
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: SHINING STAR ADULT DAY CARE INC
FACILITY NUMBER: 374603734
VISIT DATE: 08/20/2025
NARRATIVE
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The deficiency is noted on the attached LIC9099-D form and is cited in accordance with the California Code of Regulations, Title 22. A copy of this report along with Licensee/Appeal Rights, LIC421IM were provided to Laura Casas Griggs at the conclusion of the visit, and their signature below confirms receipt of these rights
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20250806123637
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SHINING STAR ADULT DAY CARE INC
FACILITY NUMBER: 374603734
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/21/2025
Section Cited
CCR
82010
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Limitations On Capacity. A licensee shall not operate a day program beyond the conditions and limitations specified on the license, including the capacity limitation.

This was requirement was not met as evidenced by:
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LPA Serrano and Administrator Casas agreed to provide LPA daily census of staff and clients ensuring the facility is not over capacity starting on the POC due date. In addition, staff will attend a CCL approved training regarding capacity compliance.

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Based on staff interviews and facility records reviews the facility was over capacity.This posed an immediate safety risk to 33 clients 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: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3