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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105111
Report Date: 11/15/2024
Date Signed: 11/15/2024 01:20:12 PM

Document Has Been Signed on 11/15/2024 01:20 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/
DIRECTOR:		CORALITO GARCIAFACILITY TYPE:
850
ADDRESS:511 ENCINITAS BOULEVARD #114TELEPHONE:
7604365433
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 53TOTAL ENROLLED CHILDREN: 53CENSUS: 19DATE:
11/15/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Statish ChandraTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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On 11/15/24 at 11:00am, LPA made an unannounced visit for a different purpose. Upon entry, LPA met with Licensee, Statish Chandra.

During facility tour, staff Safia Azimi was observed supervising the toddlers children alone. Ms. Azimi has has only 9 ECE units on file at the center and is not a qualified teacher to be left alone.

See LIC 809D for deficiency cited. This is a repeat violation and was assessed a $250 civil penalty.

Exit interview conducted and report was reviewed with the Licensee, Statish Chandra. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2024
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 11/15/2024 01:20 PM - It Cannot Be Edited


Created By: Patrick Ma On 11/15/2024 at 12:08 PM
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: 11/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2024
Section Cited
CCR
101216.1(b)(1)(A)

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101216.1(b)(1)(A) A teacher shall have completed...at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1)...(A) After employment, a teacher hired under (b) above shall complete, with passing grades, at least two units each semester or quarter until the education requirement…is met. This requirement is not met as evidenced by:
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Licensee removed Ms. Azimi from the faciltiy and the toddler's room was replaced with the Director, while fully qualify preschool staff Patricia Francis stepped in the 2's classroom.
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Based on LPA observation, staff Safia Azimi was observed supervising the toddlers children alone. Ms. Azimi has has only 3 ECE units on file at the center and is not a qualified teacher which poses/posed a potential health, safety or personal rights risk to 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:Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2024


LIC809 (FAS) - (06/04)
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