198008138-9-29-2021-33-CC-BBAT-C7BQGC-20210929120920

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198008138
Report Date: 09/29/2021
Date Signed: 09/29/2021 12:09:26 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-PARK		FACILITY NUMBER:	198008138
ADMINISTRATOR:	DEBORAH SLOBOJAN		FACILITY TYPE:	850
ADDRESS:	301 N. MARENGO AVENUE		TELEPHONE:	(626) 300-8054
CITY:	ALHAMBRA	STATE: CA	ZIP CODE:	91801
CAPACITY:	24	CENSUS: 18	DATE:	09/29/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Sylvia Loera, Site Coordinator		TIME COMPLETED:	12:15 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	An unannounced required annual inspection was conducted by Licensing Program Analyst (LPA), Bardo Baluyot who met with Site Director, Syliva Loera. A COVID-19 risk assessment was conducted prior to entering the facility. This facility operates a morning session from 8 am -12pm. The purpose for today's inspection is also to ensure that the licensee is operating in full compliance with the Stipulation Waiver and Order signed and dated May 21, 2018. Facility is currently on probation from 4/6/18 - 4/6/21. Per Stipulation and Waiver and Order - CASE No. 6217174101, OAH No. 2017070538, the following was reviewed and observed: · Licensee shall operate in strict compliance · Probationary terms is for three years and shall include unannounced inspections · Stipulation shall be posted - Stipulation Waiver and Order observed to be posted · Current roster of children to be maintained - LPA observed and reviewed current roster · Licensee to report and comply with all reporting requirements - No incidents reported · Licensee to ensure that direct supervision is in place and free of distractions or other duties · Staff level to increase - Two teachers and one aide, LPA observed 18 children present. · Sign in system shall be in compliance - All children present observed to be signed in · " Head Count" shall be made during transition periods -" Head Count" procedure was observed · Missing Child Procedures posted - Licensee developed and posted procedures · Director/ Supervising staff shall monitor the facility indoors and outdoors - Supervising staff makes weekly visits · There shall be no commingling - Licensee observed to be operating within the terms of the license · Personnel Requirements - All staff present associated and at least one staff has current first aid/ CPR · Egress Devices - Safety device observed to be in operable condition. Alarm alerts staff when door opens

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

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-PARK	FACILITY NUMBER: 198008138
	VISIT DATE: 09/29/2021

NARRATIVE

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Options Bungalow is located on Raymond Ave. across from the public park. Furniture and equipment were inspected for age appropriateness and its condition. Telephone service, heating, lighting and ventilation were evaluated. Storage space/area for children's belongings was inspected. The condition and age appropriateness of children’s sinks and toilets were inspected. LPA evaluated general sanitation and cleanliness of facility. Availability of indoor drinking water was observed in form of water fountains attached to sinks.

Outdoor area and equipment were inspected for safety, cushioning material, condition and age appropriateness. Required shade, drinking water in form of jug and disposable cups, and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. LPA reviewed sign in/outs sheets and children's roster and emergency information. Full children's files and staff files are located at the main office.

Children and staff files were subsequently reviewed on this day as they are kept in the main office: Options State Preschool's main office, located at: 18455 E. Railroad, City of Industry CA 91748 (626)854-3449

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

Administrator was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

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-PARK	FACILITY NUMBER: 198008138
	VISIT DATE: 09/29/2021

NARRATIVE

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No deficiencies were observed or cited at this inspection. Based on today’s visit, Licensee will be removed from Required Inspections. Exit interview conducted and report was reviewed with the Site Coordinator, Syliva Loera. A copy of this report and appeal procedures were explained and provided. A notice of site visit was given and must remain posted for 30 days.

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.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

LIC809 (FAS) - (06/04)

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