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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701328
Report Date: 12/04/2025
Date Signed: 12/05/2025 08:50:28 AM

Document Has Been Signed on 12/05/2025 08:50 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:RISING STAR PRESCHOOLFACILITY NUMBER:
376701328
ADMINISTRATOR/
DIRECTOR:		RACHELLE WISEFACILITY TYPE:
830
ADDRESS:3040 FAIRMOUNT AVENUETELEPHONE:
(619) 603-1370
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 11DATE:
12/04/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:42 PM
MET WITH:Rachelle WiseTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 12/4/2025 at 3:42 p.m., Licensing Program Analyst (LPA), Cindy Meier conducted an unannounced Case Management inspection to follow up on requested documents regarding a solvency audit that have not been submitted. Upon arrival, LPA met with Facility Representative, Director, Rachelle Wise and discussed the purpose of the inspection and was led on a tour of the facility.

Present during the inspection were facility representative, director, three (3) infant staff members, and eleven (11) infant children.

On 10/17/2025, the initial Audit Engagement Letter was sent to Licensee via mail and email. On 10/24/2025, (Chief Financial Officer), Monica Martinez confirmed receipt of initial email detailing the audit and required documents sent by Special Investigator Assistant. On 11/05/2025, a courtesy reminder was made via email to Monica Martinez to follow up on the requested documents, reiterating the deadline to submit was 11/15/2025. Monica Martinez responded, confirming receipt of the email and stated that they were working on compiling the requested documents. On 11/17/2025, a final email was sent to follow up on the requested documents, stating that the deadline had passed to submit the documents. On 11/17/2025, LPA Cindy Meier left voicemail and sent email messages to Monica Martinez and (Chief Executive Officer), Lauren Munos reiterating the document due date, all messages went unanswered. To date the requested documents have not been received.

NAME OF LICENSING PROGRAM MANAGER: Jason Garay
NAME OF LICENSING PROGRAM ANALYST: Cindy Meier
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: RISING STAR PRESCHOOL
FACILITY NUMBER: 376701328
VISIT DATE: 12/04/2025
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The following documents are to be submitted as soon as possible, but no later than 12/11/2025:

· Balance Sheet Supplemental Schedule (LIC 403A)


· Supplemental Financial Information (LIC 401A)

· Copies of the twelve (12) most recent months checking and savings statements for all bank accounts used by the facility’s operation


· Copies of the past six (6) months of the facility utility statements for gas, electricity, water, cable, telephone and garbage, pest control, internet etc.
· Copies of the past six (6) months of the most recent statements regarding all loans and credit card accounts used for the facility or administration that support the information contained on the balance sheet (LIC 403) and Balance Sheet Supplemental Schedule (LIC 403A)
· Roster for all clients currently at facilities, revenue amounts by each client including supporting document
· Staff payroll journal/ledger, payroll expenses & payments records and any supporting documents
· If the properties are leased, a copy of your most recent lease agreement and proof that lease has been paid on time. If the property is being purchased, provide a copy of your most recent mortgage statement. Control of property by the licensee must be demonstrated for the facility at 3040 FAIRMOUNT AVENUE, SAN DIEGO 92105
· Federal Income Tax Return Quarterly fillings

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, one (1) Type B deficiency is being cited; see LIC809D. Failure to correct will result in the issuance of Civil Penalties in the amount of $100 per violation per day and shall be assessed until the violation is corrected.

Exit interview conducted and report was reviewed with director, Rachelle Wise. A Notice of Site Visit was given and must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Jason Garay
NAME OF LICENSING PROGRAM ANALYST: Cindy Meier
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 12/05/2025 08:50 AM - It Cannot Be Edited


Created By: Cindy Meier On 12/04/2025 at 03:45 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: RISING STAR PRESCHOOL
FACILITY NUMBER: 376701328

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/11/2025
Section Cited
CCR
101200(c)

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Inspection Authority of the Department. 101200(c) The Department has the authority to inspect, audit, and copy child or child care center records upon demand during normal business hours…

This requirement was not met as evidence by:
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Director stated the requested documents will be submitted as soon as possible, but no later than 12/11/2025.
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Based on record review, the licensee did not comply with the section cited above, as they did not produce copies of the requested records by the assigned due date, which poses a potential health, safety 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.
Jason Garay
NAME OF LICENSING PROGRAM MANAGER:
Cindy Meier
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 12/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/04/2025


LIC809 (FAS) - (06/04)
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