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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015784
Report Date: 07/19/2023
Date Signed: 07/19/2023 12:44:23 PM


Document Has Been Signed on 07/19/2023 12:44 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 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:49CENSUS: 10DATE:
07/19/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Andrea Uribe & Vinia Casuga TIME COMPLETED:
12:30 PM
NARRATIVE
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On 7/19/2023 at 9:30 am, Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced case management inspection. LPA met with Andrea Uribe, Site director who provided a tour of the facility to gain the census. There were 10 children and 5 staff present during the inspection. During the inspection Site Director called Education Coordinator, Vinia Casuga who met LPA at the facility at approximately 10:30 am.

The purpose of today's inspection is to go over the water lead test results received on 07/05/2023. Results indicate that the water fountain labeled (L) water sources had action level exceedance of lead. The water fountain located in portable #5 had a lead result of 14. LPA observed that faucets are not accessible through signage and with a cover that is inaccessible to children in care. The water fountain located in the portable #5 has been fixed according to both Site Director and Education Coordinator but require that it be tested again. During the visit LPA was told by the Education Coordinator and Site Director that portable classroom was not part of the infant license and LPA determined that the portable belonged to the Options State Preschool -La Seda facility #191500870, which is a closed facility and has not operated since October of 2015. However even though children do not use LPA was told that staff do use for their breaks time and portable #5 was included as part of the lead testing.

LPA took pictures of the water fountain during the inspection. A deficiency was cited to ensure that the faucet will be retested since it has already been fixed by replacing water fixture. Facility Coordinator, Andrea Butler had emailed LPA prior to the inspection the following reports, LIC 9275, LIC 9276, facility sketches and testing results of the facility. LPA provided the PIN 21-21.1 CCP Lead.

The deficiency listed on the following page were observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

Exit interview conducted and a copy of this report, along with appeals rights was reviewed with the Education Coordinator, Vinia Casuga. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2023
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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Document Has Been Signed on 07/19/2023 12:44 PM - It Cannot Be Edited

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 EARLY HEAD START - LA SEDA
FACILITY NUMBER: 198015784

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/21/2023
Section Cited
CCR
101700.3(b)(1)

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(b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. This requirement was not met as evidence by record review. Lead test results showed that one water source
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The facility has already had the water fountain parts replaced and retesting will be conducted. The facilities plan is to continue to ensure that the water sources will not be used as a drinking or food preparation source by the POC date of 8/21/2023. Facilty Coordinator will send results via email to LPA.
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had an action level exceedance. LPA observed drinking fountain in portable #5 to be made inaccessible with a cover and photos were taken during the inspection. This is a potential risk to the health and safety of the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2023
LIC809 (FAS) - (06/04)
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