198001139-1-17-2020-33-CC-ACAS-BKWSHS-20200117125402

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198001139
Report Date: 01/17/2020
Date Signed: 01/17/2020 12:54:08 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-STATE PRESCHOOL-LOS ALTOS		FACILITY NUMBER:	198001139
ADMINISTRATOR:	DEBORAH SLOBOJAN		FACILITY TYPE:	850
ADDRESS:	14047 TEDFORD ST.		TELEPHONE:	(310) 906-0891
CITY:	SOUTH WHITTIER	STATE: CA	ZIP CODE:	90604
CAPACITY:	48	CENSUS: 29	DATE:	01/17/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:36 AM
MET WITH:	Alma Campos		TIME COMPLETED:	01:10 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	An unannounced annual/random inspection was conducted by Licensing Program Analysts (LPAs) Ariel Cazares and Bardo Baluyot who met with Site Supervisor Alma Campos. LPAs toured the facility which consists of two portables: State Preschool and Full Day. State Preschool consisted of 20 children with two staff and Full Day consisted of 9 children and 2 staff. State preschool program currently operates an AM session from 8:45 AM to 11:45 AM in portable #1. Full Day program operates under the same license in portable # 2 from 7:30 AM to 5:00 PM. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings and an isolation area with a sink, toilet were inspected. Isolation areas are in the staff offices adjacent to each portable. Age appropriate sinks and toilets were inspected for availability and good repair. General sanitation was observed. Availability of indoor drinking water was observed in form of water fountains. LPAs tested functionality in toilets and observed that 1 of 2 toilets was not flushing. Per Teacher Gema Perez, the toilet stopped functioning today and a work order was placed. The second toilet is in functioning order. The carbon monoxide detector in Portable #1 was tested and found operational. Outdoor area and equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. Drinking water is available in form of a water jug and disposable cups.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel Cazares	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020

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-LOS ALTOS	FACILITY NUMBER: 198001139
	VISIT DATE: 01/17/2020

NARRATIVE

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Snack/lunch menus were reviewed and observed posted in the facility. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness. A review of cleaning and food supply storage areas was made. First Aid supplies are available in each classroom.

This facility provides Incidental Medical Services - IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s personnel and administrative records. 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.

Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met. Sign in and out sheets were reviewed and found to be accurate.

Main staff and children's files are stored at the Options State Preschool's main office, located at: 18455 E. Railroad St. City of Industry, CA 91748. Tel # (626) 854-3449.
Main staff and children's files for the full-day program are stored at the Options Early Learning Center’s main office, located at: 885 S. Village Oaks Drive. Covina, CA 91724. Tel # (626) 858-0527

INTERNET ADDRESS: http://www.ccld.ca.gov – To access licensing forms, updates and Title 22.

No deficiencies were observed or cited on this date.

Exit interview was conducted with Site Supervisor Alma Campos. A copy of this report and appeal rights were provided. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel Cazares	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020

LIC809 (FAS) - (06/04)

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