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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105111
Report Date: 08/01/2023
Date Signed: 08/01/2023 12:45:41 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
06/13/2023 and conducted by Evaluator Joelle Redding
COMPLAINT CONTROL NUMBER: 51-CC-20230613164145
FACILITY NAME:ENCINITAS SHINING STARSFACILITY NUMBER:
376105111
ADMINISTRATOR:A. SERGE/K. NAKANOFACILITY TYPE:
850
ADDRESS:511 ENCINITAS BOULEVARD #114TELEPHONE:
(760) 436-5433
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:53CENSUS: 32DATE:
08/01/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Assistant Director KinseyTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
Staff speak disrespectfully to children
Staff do not provide adequate supervision to children.
INVESTIGATION FINDINGS:
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On 8/1/2023 @ 9:45 a.m., Licensing Program Analysts (LPAs), Joelle Redding and Annette Sutherland made an unannounced visit to complete interviews and deliver findings on the above allegations. During today's visit, LPAs conducted new and follow up interviews with staff. Based on the information obtained during interviews of staff, parents and children and review of relevant documentation, evidence shows that Staff #3 was asleep and not properly supervising children at naptime and has spoken to children in a harsh manner on at least one occasion. Staff #2 spoke with a child in a demeaning manner on at least one occasion. The allegations are valid because the preponderance of the evidence has been met, therefore, they are found to be SUBSTANTIATED. Under California Code of Regulations, (Title 22, Div.12, Chpt 1) Type A deficiencies are being cited on the attached LIC 9099D.

The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Alexis Segre, via telephone.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023
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 4
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
06/13/2023 and conducted by Evaluator Joelle Redding
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20230613164145

FACILITY NAME:ENCINITAS SHINING STARSFACILITY NUMBER:
376105111
ADMINISTRATOR:A. SERGE/K. NAKANOFACILITY TYPE:
850
ADDRESS:511 ENCINITAS BOULEVARD #114TELEPHONE:
(760) 436-5433
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:53CENSUS: DATE:
08/01/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:TIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff use inappropriate discipline methods
INVESTIGATION FINDINGS:
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13
On 8/1/2023 @ 9:00 a.m., Licensing Program Analysts (LPAs), Joelle Redding and Annette Sutherland made an unannounced visit to complete interviews and deliver findings on the above allegation.

It was alleged that staff uses/used inappropriate discipline methods. Based on the inconsistent information obtained during interviews, observations, and documentation reviewed, it is determined that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the above allegation(s) is found to be Unsubstantiated.

Exit interview conducted and report was reviewed with the Director Alexis Segre via telephone. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 51-CC-20230613164145
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
FACILITY NUMBER: 376105111
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/02/2023
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision...No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation. This requirement has not been met as evidenced by:
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Director states that she will take advantage of the TSP training, are currently hiring for additional support and conduct an in house training with regard to appropriate supervision will be held within the next two weeks. A copy of the roster and agenda will be sent to Licensing by 8/15/2023.
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9
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11
12
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14
Based on interviews and review of relevant documentation, Staff #1 was asleep, on at least one occasion, while supervising napping children, creating an immediate hazard to children in care.
8
9
10
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12
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14
Director and Assistant Director Kinsey McCabe state that they were not aware of the situation prior to this visit and therefore, unable to address or put preventative measures in place.
Type A
08/02/2023
Section Cited
CCR
101223(a)(3)
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2
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Personal Rights. The licensee shall ensure that each child is accorded the following personal rights...To be free from...intimidation...threat...or other actions of a punitive nature...This requirement was not met as evidenced by:
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Director states that they will take advantage of the TSP training, are currently hiring for additional support and conduct an in house training with regard to appropriate communication and will be held within the next two weeks. A copy of the roster and agenda will be sent to Licensing by 8/15/2023.
8
9
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14
Based on review of relevant audio documentation and interviews, Staff #1 spoke harshly to children, causing them to cry and Staff #2 spoke in a demeaning manner to a child on at least one occasion. This is an immediate risk to the health and safety of children in care.
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Director and Assistant Director Kinsey McCabe state that they were not aware of the situation prior to this visit and therefore, unable to address or put preventative measures in place.
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: 07/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 51-CC-20230613164145
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
FACILITY NUMBER: 376105111
VISIT DATE: 08/01/2023
NARRATIVE
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LPAs, Joelle Redding and Annette Sutherland, informed Director, Alexis Segre, that this report dated August 1, 2023, documents two Type A citations which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

LPAs, Joelle Redding and Annette Sutherland, also informed the Director to provide a copy of this licensing report dated August 1, 2023, that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

LIC 9224 was provided today. LPA discussed and recommended the Technical Support Program (TSP) with Director via telephone as she was out today. Brochure was provided.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4