376105112-10-7-2022-51-CC-SCLA-CJXQXV-20221006123411

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376105112
Report Date: 10/06/2022
Date Signed: 10/07/2022 08:34:43 AM

Document Has Been Signed on 10/07/2022 08:34 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 CENTER		FACILITY NUMBER:	376105112
ADMINISTRATOR:	A. SERGE/K. NAKANO		FACILITY TYPE:	830
ADDRESS:	511 ENCINITAS BOULEVARD #114		TELEPHONE:	(408) 718-3070
CITY:	ENCINITAS	STATE: CA	ZIP CODE:	92024
CAPACITY: 10	TOTAL ENROLLED CHILDREN: 10	CENSUS: 8	DATE:	10/06/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:43 AM
MET WITH:	Alexis Segre		TIME COMPLETED:	10:15 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 10/06/2022 at 8:43am, Licensing Program Analysts (LPA), Samantha Clenista and Leilani Curtis conducted an announced Change of Ownership Pre-Licensing inspection. Upon arrival, LPA’s met with Co-Director, Alexis Segre. LPA's took a tour of the facility and observed a total of 8 children with a total of 3 staff members. This facility houses an infant, toddler and preschool program. After talking to Ms. Segre about the room names, the facility has requested to change the names to match updated sketch. The Infant Program (children ages 0-2 years old) operate in the "Infant Room." Fire clearance was granted on 08/23/2022. There is a First Aid Kit kept in all classrooms. Medications are on site and are stored up high in a kitchen cabinet, inaccessible to children. All indoor and outdoor activity space utilized for the children were inspected and measured today. The indoor play areas used for the infants, toddlers and preschool children were observed to be physically separate from one another. The “Infant Room” measured at approximately 319.12 sq. ft., sufficient for only 9 children. LPA's observed all indoor activity space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. There is one changing table within an arm’s reach of a sink located in the room. Infant needs and services plan are located in the classroom near the changing table and are to be updated on a quarterly basis. There is a total of 7 infant cribs located in the napping area which are covered with vinyl and free of hazardous items. Also present were 4 sleeping mats. The cribs are arranged to provide a walkway between them. LPA’s reminded Ms. Segre that each infant's bedding shall be used solely per infant and not shared and shall be taken home at least weekly for washing. All storage containers or trash cans containing solid or diaper waste have tight fitting lids and are in good repair. There is a separate bathroom used by staff and is also designated for use by children who are ill.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 376105112
	VISIT DATE: 10/06/2022

NARRATIVE

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The director's office is the isolation area for children who are ill. There is not an operational carbon monoxide detector on site to be located. The kitchen area was observed free of rodents and/or vermin. All required documents for the parents and employees are posted. Sign-in sheet is located outside in front of the building. All children that were present during inspection were signed in. Ms. Segre stated there are no firearms/weapons on site. LPA’s observed no bodies of water on site.

The outdoor playground area was inspected and measured. Area was measured at approximately 829.94 sq. ft., which will accommodate no more than 11 children at one time. Facility requested to share this playground with their toddler program children at different times. A playground waiver shall be submitted and approved prior to licensure. When LPA’s inspected the outdoor playground, LPA’s observed a big canopy used for shade. Play area has age appropriate play equipment and sufficient cushioning under the climbing structure and is fully fenced (above 4ft. high). Drinking water is readily accessible inside and outside the classroom via water pitchers and refillable water bottles. Ms. Segre is reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http. LPA's and applicant discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 376105112
	VISIT DATE: 10/06/2022

NARRATIVE

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Facility Representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA's reviewed the updated LIC311A with the facility representative today and reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Prior to licensure, the following is needed:

Obtain and install an operational carbon monoxide detector
Submit a playground waiver request
Post all required postings near the entryway where parents/guardians can see
Obtain an updated fire clearance reflecting room name changes and capacity

Exit interview was conducted with Ms. Segre. LPA’s provided and reviewed all Provider Information Notice's regarding Lead Testing to Ms. Segre. Ms. Segre stated her understanding of the information and what is needed to be done by January 1, 2023. An infant license for 9 children (ages 0-2 years old) may be granted upon receiving all the above corrections and after a final file review. Ms. Segre stated her understanding. This report shall be kept available at the facility for public review for 3 years. Due to printer malfunction, LPA will email Ms. Hall a copy of this report and appeal rights at conclusion of visit.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022

LIC809 (FAS) - (06/04)

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