191597763-8-18-2021-33-CC-BBAT-C5ZRN5-20210818130947

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191597763
Report Date: 08/18/2021
Date Signed: 08/18/2021 01:09:57 PM

COMPREHENSIVE INSPECTION

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 STATE HEADSTART-WILLOWOOD		FACILITY NUMBER:	191597763
ADMINISTRATOR:	DEBORAH SLOBOJAN		FACILITY TYPE:	850
ADDRESS:	2021 ALWOOD		TELEPHONE:	(626) 851-9887
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91790
CAPACITY:	24	CENSUS:	DATE:	08/18/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Marcela Ordona, Lead Teacher		TIME COMPLETED:	01:15 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 inspection. LPA arrived at 11:30 AM but started the report under incorrect Facility number. (198007099) LPA met with Marcela Ordona, Site Supervisor and Katesuda Macedonio, Associate Teacher. LPA observed 12 children present. The program operates on the campus of Willowood Elementary School. This facility operates a State Preschool program in the morning and a Head Start session in the afternoon. Both programs operate in the same portable. The schedule is as follows: 8:00 AM - 12:00 PM and 12:30 PM - 4 PM. In addition to the programs mentioned, Options for Learning also operates a Full Day program in 2 separate portables which is exclusive to the Full Day program. Head Start teacher Silvia Carbajal and Assistant Teacher, Christina Jaramillo were also present in the break room during the inspection. Children attending the program use a 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/ heat. The refrigerator, microwave and electric oven were observed to be clean. Carpeting and flooring were also observed to be clean and well maintained. A staff and children's restrooms are available inside the class room. Availability of drinking water is provided via water jug. Per Ms. Ordona, water fountains are not in use due to the pandemic. Cleaning solutions are stored inside a cabinet and/or cabinets that are not accessible to children. Children have cubbies to store their personal items in. A variety of games and other learning materials are available. The playground is completely fenced with a five foot chain link fence. Children have access to a grassy field area which is well maintained and playground equipment was observed to be well anchored and has rubber cushioning underneath to absorb falls. There are shade structures in place and a variety of playground toys for children to play with. A water jug with cups are taken outdoors as a drinking source. First Aid supplies are kept in a backpack and were inventoried for quantity and expiration dates. Lead Teacher's First Aid is current (Exp. 5/22) PAGE 1 OF 3

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021

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 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 STATE HEADSTART-WILLOWOOD	FACILITY NUMBER: 191597763
	VISIT DATE: 08/18/2021

NARRATIVE

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

According to staff there are currently 14 children enrolled in the AM and 6 children for the PM. Two staff (Site Supervisor and Associate Teacher) are assigned at this site to ensure that teacher - child ratios are in compliance at all times. Roster was available and up to date. An Emergency Disaster Drill log is kept. The program conducts routine emergency drills and LPA observed first drill of the year was scheduled for 8/20/21 and was also posted on the monthly activities calendar. Per staff, a wellness check is conducted upon arrival. Sign in and out sheets and procedures were reviewed. All children physically present were observed to be signed in.

This facility provides Incidental Medical Services – IMS . An IMS plan has been submitted.
There are (0) children receiving IMS services at this time. Medication log and forms were reviewed. 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

Criminal Record Clearances are a contingency for hire. All clearances are associated to the Ynez Administrative File #191592586. 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: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021

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 STATE HEADSTART-WILLOWOOD	FACILITY NUMBER: 191597763
	VISIT DATE: 08/18/2021

NARRATIVE

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Per waiver agreement on file for Options, employee and children's records will be reviewed during a collateral inspection at the City of Industry, CA headquarters.

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: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021

LIC809 (FAS) - (06/04)

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