109 East Central Avenue

Madera, California 93638

+1 (559) 674-8670

Customer Support

Mon - Fri: 7am - 7pm PST

You can email us 24hrs/day

Admission Eligibility and Policies :

To be eligible for Pediatric Day Health Care services, the consumer must be medically fragile with an acute or chronic health problem(s) that requires skilled nursing care and therapeutic intervention (developmental delays included) during all or part of the day.

The consumers that we serve may be male or female, ambulatory or non-ambulatory. The consumer’s speech and communication abilities may be limited, possibly requiring the intervention of a Speech Therapist. Consumers with severe to profound intellectual disabilities may require assistance with all activities of daily living such as: eating, grooming, personal hygiene, etc. The consumers may be incontinent and require bowel and bladder training with continuous control of odor and wetness with disposable briefs. Every effort will be made to promote personal independence within the consumer’s individual capabilities while protecting the consumer’s right to privacy.

STAR Center Pediatric Day Health Care may establish admission criteria based on the compatibility of the developmental and skilled nursing needs of the consumers served and our ability to meet those needs. The consumer must be medically stable as determined by their attending physician as they must approve their plan of care. The consumer must be up to date with their vaccinations and provide a record of this.

Some of the medical diagnoses that can be managed by STAR Center Pediatric Day Health Care are the following, but not limited to:

    1. Asthma
    2. Blindness
    3. Bronchopulmonary Dysplasia
    4. Cardiopulmonary defects
    5. Cerebral Palsy
    6. Colostomy Care
    7. Cystic Fibrosis
    8. Developmental Delays
    9. Diabetes
    10. Down Syndrome
    11. Failure to Thrive
    12. Feeding Disorders/Oral Aversions
    13. Fetal Alcohol & Drug Disorders
    14. Gastrostomy-Jejunostomy Tube Care
    15. Genetic Chromosomal Disorders/Syndromes
    16. Hypertonia/Hypertonia
    17. Metabolic Disorder
    18. Nasogastric Feedings
    19. Nephrological Monitoring Catheterizations
    20. Neurologic Disorders/Paralysis
    21. Nutritional/Gastrointestinal Conditions
    22. Orthopedically Impaired
    23. Reflux Disorder
    24. Respiratory Disorders
    25. Seizure Disorder/Management
    26. Spina Bifida
    27. Tracheostomy


Upon pre-screening for admission by the Administrative Team, it will be decided if the consumer is eligible based on the criteria mentioned above and below:

  1. Must be between 3 and 22 years of age
  2. May be male or female
  3. Maybe ambulatory, non-ambulatory, or ambulatory but considered “non-ambulatory” in the event of a fire or disaster
  4. May have behavioral issues and may require the use of psychotropic medications
  5. The Administrative Team agrees that placement is appropriate for the consumer
  6. The consumer’s Primary Care Physician will assess and indicate that the consumer’s medical needs will be able to be met by the program

STAR Center Pediatric Day Health Care will consider any potential consumer for admission regardless of race, color, creed, religion, national origin, or sexual preference. However, STAR Center Pediatric Day Health Care will not consider the following for admission:

  1. The consumer has an infectious or contagious disease
  2. The consumer is a substance abuser
  3. The consumer has a decubitus ulcer
  4. The consumer requires extreme physical restraints for behavior management

Central Valley Regional Center will be required to submit a comprehensive packet for a potential consumer. This will allow STAR Center Pediatric Day Health Care to get a better understanding of the consumer’s history and needs and allow proper assessment to determine if the consumer is a good fit for placement. A member or members of the Administrative Team will schedule a visit/meeting with the potential consumer prior to admission.


STAR Center Pediatric Day Health Care will complete the following:

  1. Complete an initial meeting with Central Valley Regional Center and the consumer’s family
  2. Give tour of facility
  3. Discuss the consumer’s nursing needs, recreational needs, and plan of care
  4. Fill out all admission documents
  5. Visit consumer’s home if family has consented and if necessary

Within 30 days of admission to the day health care, with input from the Administrative Team, STAR Center Pediatric Day Health Care will prepare for each consumer an individualized plan of a care that states the specific objectives necessary to meet the consumer’s needs as identified and planned sequence for managing those objectives. The consumer’s plan of care is developed and tailored to the specific needs and interests of each consumer and is intended to promote progress and advancement and prevent the loss of current skills. It is necessary that each staff member at STAR Center Pediatric Day Health Care is dedicated to following the plan of care and ensuring that each goal is attempted and completed.

On-going duties of the Administrative Team will include but not be limited to the following:

  1. Review of all assessments, including strengths, weakness, and needs by all team members present to determine if objectives are still appropriate, necessary, and correctly prioritized.
  2. A review of all medical needs and documents from the consumer’s primary care physician.
  3. The Individual Plan of Care will be reviewed to ensure that the assessments are still relevant and make any updates, if necessary.
  4. The facility will, after every review, make available and interpret the assessments, and objectives to the support staff, and when lawful, to the consumer’s family or authorized representative.
  5. These reviews will be done on either a semi-annual or annual basis.

The Administrative Team will meet in the event of a special circumstance such as: lack of progress, significant changes in medical condition, or extreme maladaptive behavioral situations. The Administrative Team will also meet in event of the 30-day notice of discharge.

Skip to content