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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017645
Report Date: 06/23/2022
Date Signed: 06/23/2022 01:07:59 PM


Document Has Been Signed on 06/23/2022 01:07 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 CDC-COVENANTFACILITY NUMBER:
198017645
ADMINISTRATOR:LINA RODRIGUEZFACILITY TYPE:
850
ADDRESS:539 N. LAKE AVENUETELEPHONE:
(626) 204-8900
CITY:PASADENASTATE: CAZIP CODE:
91101
CAPACITY:54CENSUS: 9DATE:
06/23/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:37 AM
MET WITH:Assitant Teacher, Sylvia CabralTIME COMPLETED:
01:20 PM
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An unannounced Required Annual inspection was conducted today by Licensing Program Analyst (LPA), Bardo Baluyot who met with Teacher, Sylvia Cabral. LPA conducted a COVID risk self assessment upon entry. Lead Teacher, April Lim arrived shortly after. The facility operates on the property of Pasadena Covenant Church. The hours of operation are from 7:30 AM to 4:30 PM. There were a total of 9 children and 3 staff observed.

The facility consists of 2 classrooms: Full Day #1 & #2. Currently rooms #1 is not in use. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings were observed in each classroom. Each classroom has drinking water in form of water jugs and disposable cups available to children. Children's restrooms were inspected. Age appropriate sinks and toilets were inspected for availability and good repair. General sanitation was observed. LPA observed that all cabinets were equipped with child safety locks. First aid supplies were observed in the classroom. The carbon monoxide detector in classroom #2 was tested and found operational.

The outdoor playground was inspected. There is an approved waiver with the Department for a staggered schedule for no more than 28 children outdoors at a time. LPA observed no children outdoors on this date. Outdoor area and equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. No hazards were observed.

The facility offers a breakfast, lunch, and afternoon snack. Snack/lunch menus were observed posted throughout the facility and were reviewed. Food items are kept in the refrigerator located in classroom #1. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety and cleanliness. The kitchen is located in the building adjacent to the program.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 06/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/23/2022
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 CDC-COVENANT
FACILITY NUMBER: 198017645
VISIT DATE: 06/23/2022
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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
Per Ms. Cabral de la Torre, one child uses has an IMS currently. LPA observed the nebulizer to be within the expiration date and included instructions for use by authorized staff.

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.

No Children or Staff files were reviewed during today's visit.
The main child's file and staff files are located at the main office: 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.

After a complete inspection of the facility, there were no deficiencies observed on this date according to California Code of Regulations Title 22 Division 12.

Exit interview conducted and report was reviewed with Lead Teacher, April Lim.

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.

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: 06/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
LIC809 (FAS) - (06/04)
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