<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573620072
Report Date: 07/26/2023
Date Signed: 07/26/2023 11:22:01 AM

Document Has Been Signed on 07/26/2023 11:22 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
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:TWINKLE LITTLE STAR CENTERFACILITY NUMBER:
573620072
ADMINISTRATOR:INIGUEZ, JOSEFINAFACILITY TYPE:
850
ADDRESS:1401 EAST GUM AVETELEPHONE:
(530) 204-9709
CITY:WOODLANDSTATE: CAZIP CODE:
95776
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 29DATE:
07/26/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director, Josefina GascaTIME COMPLETED:
11:45 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 July 26th, 2023, Licensing Program Analysts (LPA’s) Lauren Scott and Jennie Tedlos conducted a case management inspection at the facility.

At time of arrival LPA's observed 27 children and two staff. 2 additional children arrived during the visit.
LPAs determined through accessing Guardian that one of the teachers were not cleared and/or associated to the facility. Based on observation and review, facility did not ensure a criminal record clearance and/ or association of the staff member to her facility, which poses an immediate health, safety or personal rights risk to persons in care.

Title 22 deficiencies have been cited on subsequent page, LIC 809D. Upon receipt of Type A citations, facility shall post and provide copies of the LIC 809D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed LIC 9224, acknowledging receipt of Licensing Reports LIC 809D in each child's files.

An exit interview was conducted, and a Plan of Correction was reviewed and developed with the Director, Josefina Gasca. A copy of this report and appeal rights were discussed and left for Director. A Notice of Site Visit was posted by LPA’s and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 07/26/2023 11:22 AM - It Cannot Be Edited


Created By: Lauren Scott On 07/26/2023 at 09:56 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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: TWINKLE LITTLE STAR CENTER
FACILITY NUMBER: 573620072

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/27/2023
Section Cited
CCR
101216.3(a)

1
2
3
4
5
6
7
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.

This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director will call in additional staff as needed, or send children home to ensure ratio is met.
8
9
10
11
12
13
14
Upon arrival, LPAs observed 27 children being supervised by two staff. Two additional children arrived during the time of visit.

This poses an immediate health, safety or personal rights risk to children in care.
8
9
10
11
12
13
14
Type A
07/27/2023
Section Cited
CCR101170(e)(1)

1
2
3
4
5
6
7
(e) All individuals subject to a criminal record review... prior to working...(1) Obtain a California clearance or a criminal record exemption as required by the Department...
This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director will either associate the employees to the facility by transferring the fingerprint clearances or by obtaining new fingerprint clearances. Employee will not return to the facilty until the background clearance is complete.
8
9
10
11
12
13
14
Based on record review and interview, one staff member was not backgrund cleared nor associated to the facility.

This poses an immediate health, safety or personal rights risk to children in care.
8
9
10
11
12
13
14
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:Chayntel Hunter
LICENSING EVALUATOR NAME:Lauren Scott
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2