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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000227
Report Date: 09/13/2022
Date Signed: 09/13/2022 12:46:50 PM


Document Has Been Signed on 09/13/2022 12:46 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-STATE PRESCHOOL-ROWLANDFACILITY NUMBER:
198000227
ADMINISTRATOR:DEBORAH SLOBOJANFACILITY TYPE:
850
ADDRESS:2036 S. FULLERTON ROADTELEPHONE:
(626) 965-9687
CITY:ROWLAND HEIGHTSSTATE: CAZIP CODE:
91748
CAPACITY:28CENSUS: 14DATE:
09/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Teacher Vicky MoralesTIME COMPLETED:
12:55 PM
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An unannounced Required Annual site inspection was conducted by Licensing Program Analyst (LPA), Bardo Baluyot who met with Teacher, Vicky Morales. LPA conducted a COVID risk self-assessment upon entry. This facility operates a morning and afternoon session from 8-12 & 12:30-4PM. Per staff, PM session is licensed under Head Start and uses same facility number. Additionally, staff stated that this is a new Head Start site and this is the first year at this location.

LPA observed 2 staff with 14 children. LPA found the facility is within ratio. Head Start teachers Lillian Huerta and Anita Mousseau were also present in the office during the inspection. Care and supervision was evaluated to determine if the basic needs of children are met. LPA observed during this inspection that facility is in compliance of this. LPA reviewed sign in/outs sheets but children's roster was not available.

Bungalow was identified on facility sketch and inspected. Furniture and equipment both indoors and outdoors were inspected for condition and age appropriateness. Children's storage space for belongings was inspected, along with children's toilets and sinks. Water is provided in form of water jug and disposable cups.
Outdoor area was inspected for hazards. Required shade was inspected. Outdoor water is provided via water jug and disposable cups.

Snack and lunch menus were reviewed. Food preparation area was inspected. LPA inspected First Aid kit for completeness.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2022
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-STATE PRESCHOOL-ROWLAND
FACILITY NUMBER: 198000227
VISIT DATE: 09/13/2022
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This facility provides Incidental Medical Services – IMS. 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

No deficiencies were cited during today's visit.

No children or staff files were reviewed during today's visit. Files are kept at Options State Pre school's main office located at 18455 E. Railroad St., City of Industry CA 91748 (626)854-3449

Exit interview conducted and report was reviewed with Teacher, Vicky Morales.

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.

http://www.ccld.ca.gov – to access licensing information and forms.



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/inspection-process.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
LIC809 (FAS) - (06/04)
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