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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105049
Report Date: 06/21/2022
Date Signed: 06/24/2022 09:43:43 AM

Document Has Been Signed on 06/24/2022 09:43 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
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: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 4DATE:
06/21/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:Director Alexis SegreTIME COMPLETED:
05:15 PM
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During the annual visit on 6/20/22, LPA experienced computer issues and the annual visit was cut short.

On 6/21/22 @ 5:00 p.m., LPA made an unannounced visit to complete the annual visit.

LPA conducted child care quality management interview with Director. Exit interview conducted and report was reviewed with the Director Alexis Segre.

No deficiencies were cited.

NOTICE OF SITE VISIT WAS GIVEN AND WILL REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2022
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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