191500934-11-7-2022-33-CC-BBAT-CKXVAP-20221107151617

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191500934
Report Date: 11/07/2022
Date Signed: 11/07/2022 03:16:21 PM

Document Has Been Signed on 11/07/2022 03:16 PM - 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	OPTIONS-SURROUND CARE-VILLACORTA		FACILITY NUMBER:	191500934
ADMINISTRATOR:	LYNETTE CORONA		FACILITY TYPE:	840
ADDRESS:	17721 E. GEMINI		TELEPHONE:	(626) 810-2042
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	40	CENSUS: 13	DATE:	11/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Associate Teacher, Debbie Fernald		TIME COMPLETED:	03:30 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),Bardo Baluyot conducted an unannounced Required Annual site inspection. Upon arrival, LPA conducted a COVID risk self-assessment and met with Associate Teacher, Debbie Fernald. Assistant Teacher, Kimberly Hinojosa was also present during the inspection. LPA observed a total of 13 children in care. The program operates on the campus of Villacorta Elementary School. Options Surround Care offers before and after school care from 6:30-9:30 AM and 12:45-6 PM (Monday -Friday). In addition to the School Age program, there is also an Options for Learning State Preschool program and Full Day program operating on the elementary campus. Participants attending the before and after school program are housed in a separate portable 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 and disposable cups. First Aid supplies are maintained on site. Cleaning solutions are stored inside a locked cabinets. Children have cubbies to store their personal items in. A variety of games and other learning materials are available for children. Staff escorts children to restrooms which are located near the program's outdoor area. The outdoor play yard used is next to the portable. The playground is completely fenced with a five foot chain linked fence. Children have access to a grassy field area which is well maintained. A water jug and disposable cups is brought out for outdoor time and shade is provided via trees. Menus were reviewed for availability, quantity and appropriateness to children in care. The morning program offers breakfast and the afternoon session provides a 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. PAGE 1 OF 2

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022

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

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-VILLACORTA	FACILITY NUMBER: 191500934
	VISIT DATE: 11/07/2022

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 posted and shows emergency drills were last conducted on 10/27/22. 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.

This facility provides Incidental Medical Services – IMS. An IMS plan has been submitted.
There is currently (1) child receiving IMS services. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

All clearances are associated to the Granada Administrative File #191592096.

No children or staff files were reviewed during today's visit. Files are stored at Options Surround Care's main office located at 304 S. 1st St. Alhambra, CA. 91801 (626)284-9935

No deficiencies cited during today's visit.

Exit interview conducted and report was reviewed with Associated Teacher, Debbie Fernald.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

PAGE 2 OF 2

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2