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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105049
Report Date: 06/20/2022
Date Signed: 06/20/2022 05:18:39 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/24/2022 and conducted by Evaluator Joelle Redding
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220324101551
FACILITY NAME:ENCINITAS SHINING STARS INFANT CENTERFACILITY NUMBER:
376105049
ADMINISTRATOR:KIKUE N. & ALEXIS L.FACILITY TYPE:
830
ADDRESS:511 ENCINITAS BOULEVARD #114TELEPHONE:
(760) 436-5433
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:10CENSUS: 8DATE:
06/20/2022
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Director Alexis SegreTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is not adhering to the admission agreement
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 6/20/22 @ 1:45 p.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit to deliver the findings on the above-referenced allegation.

Based on the information obtained during record review and interviews, even though the double billing was an unintentional error that was rectified, the admission agreement terms states that a required 30 day notice will be given for any change of rates. More than one family was charged incorrectly, without the required 30 day notice, and it did take more than one instance of the incorrect billing to finally rectify the error. Therefore, the above-referenced allegation is determined to be substantiated and a Type B deficiency will be cited on the accompanying LIC 9099D.

An exit interview was done, Appeal Rights were discussed, Notice of Site Visit was posted and will remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022
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 2
Control Number 51-CC-20220324101551
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ENCINITAS SHINING STARS INFANT CENTER
FACILITY NUMBER: 376105049
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/01/2022
Section Cited
CCR
101219(f)
1
2
3
4
5
6
7
Admission Agreement. The licensee shall comply with all terms and conditions set forth in the admission agreement.

This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director states that the billing error was adjusted and now the billing is handled by her, in house to avoid further issues.

8
9
10
11
12
13
14

Based on interviews and record review, although a clerical error, the facility did not provide the required 30 day notice of basic rate change and families were billed in excess of the amount agreed to in their signed contract.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2