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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105111
Report Date: 08/10/2023
Date Signed: 08/10/2023 12:17:38 PM

Document Has Been Signed on 08/10/2023 12:17 PM - 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 STARSFACILITY NUMBER:
376105111
ADMINISTRATOR:ALEXIS SEGREFACILITY TYPE:
850
ADDRESS:511 ENCINITAS BOULEVARD #114TELEPHONE:
(760) 436-5433
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 53TOTAL ENROLLED CHILDREN: 53CENSUS: 26DATE:
08/10/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Director Alexis SegreTIME COMPLETED:
12:25 PM
NARRATIVE
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On 8/10/2023 @ 11:50 a.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit to issue a deficiency for failing to transfer the background clearance for a staff member and to deliver an amended LIC 809 and 809D.

After evaluating the staff for the facility, LPA determined that A+ Sub's teacher, Coralito "Coral" Garcia, has been working at the school as a teacher for three weeks. The facility did not request a transfer of Ms. Garcia's criminal background clearance and she was not associated to the facility. This is a potential hazard to the health and safety of the children in care and a Type B deficiency will be cited on the accompanying LIC 809D.

In addition, LPA has amended the LIC 809 and 809D, issued originally on 8/1/2023, to remove the Type A deficiency under Teacher/Child ratio, and replace it with two Type B deficiencies, one under Teacher-Child ratios for one teacher supervising more than 12 children, and another under Teacher Aide Qualifications and Duties for an unqualified staff member (Aide), supervising children without the direct supervision of a teacher.

LPA evaluated the facility's process for providing the LIC 9099 and 9099D citing a Type A deficiency, issued on 8/1/23. Copies are being provided to parents, timely and the report is visibly posted along with the Notice of Site Visit.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2023
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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Document Has Been Signed on 08/10/2023 12:17 PM - It Cannot Be Edited


Created By: Joelle Redding On 08/10/2023 at 10:19 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ENCINITAS SHINING STARS
FACILITY NUMBER: 376105111

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/11/2023
Section Cited
CCR
101170(e)(2)

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Criminal Record Clearance. (e) All individuals subject to a criminal record... shall prior to working, residing or volunteering in a licensed facility...Request a transfer of a criminal record clearance. This requirement was not met as evidenced by:
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Director states she has sent over the transfer previously and the fax did not go through. She resent the request on 8/7 via email to SDIncidentReports@dss.ca.gov and showed LPA the reply email confirming receipt.

No further correction is required.
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Based on interview with Director and a review of Guardian and the Licensing Information System, A+ sub, Coralito "Coral" Garcia has been working for the facility for three weeks without a requested transfer. This is a potential risk to the health and safety of children 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.
SUPERVISOR'S NAME:Renesha Askew
LICENSING EVALUATOR NAME:Joelle Redding
LICENSING EVALUATOR SIGNATURE:
DATE: 08/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/10/2023


LIC809 (FAS) - (06/04)
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