<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015784
Report Date: 06/04/2019
Date Signed: 06/04/2019 12:26:43 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 EARLY HEAD START - LA SEDAFACILITY NUMBER:
198015784
ADMINISTRATOR:RUBY SEVILLAFACILITY TYPE:
830
ADDRESS:18410 RENAULT STREETTELEPHONE:
(626) 581-4049
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:25CENSUS: DATE:
06/04/2019
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:11 AM
MET WITH:Ruby Sevilla, Mildred Balderama Mercedes Rosales TIME COMPLETED:
12:22 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 office meeting was held on this date with Ruby Sevilla, Early Head Start Division Director and Mildred Balderrama, Head Start Division Director. Mercedes Rosales, recently appointed Division Director for Head Start was also in attendance. Ana Chico, Licensing Program Analyst met with directors for the purpose of discussing pending documents needed to finalize and Administrative File for Options - Head Start and Early Head Start.

The following forms / facility information needs to be updated specifically for Options - Head Start and Early Head Start. (with the exception of general docs for Options, licensee.)
Required Updates:
  • In-Service Training for Staff (employee handbook)- New Mandated Reporter training must be included.
  • Director's and/or Staff's First Aid, CPR and Health and Safety Training Verification to include Nutrition training.
  • Program description for both Head Start and Early Head Start.
  • Hiring Practices - New immunization requirements for staff (MMR, TDAP and FLU).
  • Plan of Operation (Parent Handbook) - To include Incidental Medical Services. Admissions Policies and Procedures and Discipline Policy needs to be provided for each program. .
  • Qualifications for Miildren Balderrama, Mercedes Rosales and Ruby Sevilla, including immunization Record and Mandated Reporter Certificate to be provided.
  • Letter requesting an administrative file for Early Head Start (La Seda #198015784) and Head Start (New Temple #191593520). Letter to include a list of sites.

The above will be submitted by June 20, 2019. Exit interview conducted with Ms. Ruby Sevilla, Mercedes Rosales and Ms. Balderama.
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
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 1