191500006-5-14-2019-33-CC-ACHO-BC6UX7-20190514155751

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191500006
Report Date: 05/14/2019
Date Signed: 05/14/2019 03:58:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	OPTIONS SURROUND CARE-BLANDFORD		FACILITY NUMBER:	191500006
ADMINISTRATOR:	BERTHA SEQUEIDA		FACILITY TYPE:	840
ADDRESS:	18605 LINCROFT STREET		TELEPHONE:	(626) 913-0603
CITY:	ROWLAND HEIGHTS	STATE: CA	ZIP CODE:	91748
CAPACITY:	40	CENSUS: 15	DATE:	05/14/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Elizabeth Andrade		TIME COMPLETED:	04:10 PM

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	Licensing Program Analyst (LPA), Ana Chico, conducted an annual random inspection. LPA met with Elizabeth Andrade, Site Supervisor. Priscilla Jaso, Assistant, was also present. LPA observed a total of 15 children in care. The program operates on the campus of Blandford Elementary School. In addition to the school age program, there is also a State Preschool on site. Options for Learning Surround Care offers before and after school care. The schedule is as follows: 6:30 AM - 8:30 AM and 12:00 PM - 6:00 PM (Monday -Friday). Participants attending the before and after school program use a portable that is adjacent to the elementary school. Furniture and equipment were inspected for age appropriateness and good repair. The room is well ventilated via central air. The refrigerator, microwave and electric oven were observed to be clean. Carpeting and flooring were also observed to be well maintained. Availability of drinking water is provided via water jugs with cups. First Aid supplies are maintained on site. LPA advised that all medication and cleaning solutions must be locked or made in accessible. Children have cubbies to store their personal items in. A variety of games and other learning materials are available. Staff escorts children to restrooms which are located near the program's outdoor area. The playground is completely fenced. Children have access to a blacktop and play structure area. There is a water fountain located outdoors and shade is provided via trees. PAGE 1 OF 3

SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OPTIONS SURROUND CARE-BLANDFORD	FACILITY NUMBER: 191500006
	VISIT DATE: 05/14/2019

NARRATIVE

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Teacher-child ratios were observed to be in compliance. Roster was available and up to date. An Emergency Disaster Drill log is kept. The program conducts routine emergency drills (last recorded 05/2019). Sign in and out sheets and procedures were reviewed. Children are signed in by parents or staff upon arrival. Children attending the elementary school are singed in by staff. Sign in requirements have been met as all children physically present were signed in.

Menus were reviewed for availability, quantity and appropriateness to children in care. The program provides an afternoon snack. Snacks are provided by Options Food Program which follow mandated Federal Food Guidelines. Meal menus, license, car seat law, parents' rights for centers, emergency disaster plan and all other posting requirements were observed.

Criminal Record Clearances are a contingency for hire. All clearances are associated to the Granada Administrative File #191592096. Mandated Reporter Training Certificate and new immunization requirements are also a requirement for hire. More information can be found at: http:/www.mandatedreporterca.com/training /training.htm. All licensed providers, applicants, directors and employees are required to complete training as specified on the mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Please review all elements outlined in AB 1207- Mandated Reporting Training.

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SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OPTIONS SURROUND CARE-BLANDFORD	FACILITY NUMBER: 191500006
	VISIT DATE: 05/14/2019

NARRATIVE

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According to waiver agreement on file for Options, employee and children's records will be reviewed during a collateral inspection at the Alhambra, CA headquarters.

This facility provides Incidental Medical Services – IMS . An IMS plan has been submitted. There is currently one child receiving IMS services. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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://www.ada.gov/childqanda.htm.

NO DEFICIENCIES ARE BEING CITED IN ACCORDANCE TO TITLE 22 CALIFORNIA CODE OF REGULATIONS.

Upon receipt, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posted as required will result in a $100 civil penalty.

An exit interview was conducted and a copy of this report has been signed by and provided. Appeal rights explained.

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SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019

LIC809 (FAS) - (06/04)

Page: 3 of 3