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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017652
Report Date: 02/08/2024
Date Signed: 02/08/2024 01:12:26 PM


Document Has Been Signed on 02/08/2024 01:12 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:OPTIONS HEAD START VILLA PARKEFACILITY NUMBER:
198017652
ADMINISTRATOR:DENISE FERNANDEZFACILITY TYPE:
850
ADDRESS:363 EAST VILLA STREETTELEPHONE:
(626) 206-0726
CITY:PASADENASTATE: CAZIP CODE:
91101
CAPACITY:38CENSUS: 13DATE:
02/08/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:06 PM
MET WITH:Caiza Rodriguez, Education SupervisorTIME COMPLETED:
01:25 PM
NARRATIVE
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On February 08, 2024, Licensing Program Analyst (LPA) Kruz Long conducted an unannounced Case Management visit. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with Caiza Rodriguez, Education Supervisor and explained the purpose of the visit. There are 2 classrooms which were inspected: Classroom 1: 9 children with 3 staff; Classroom 2: 4 children with 2 staff.

Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility Education Supervisor during the inspection. Per AB 2370, all CCCs that are in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

Report results provided during the inspection indicates the facility was inspected and samples were collected on 09/16/2023. Faucets reported with 5.5 ppb or greater lead exceedance levels were as follows:
  • Faucet B (13 ppb)

LPA observe 2 faucets in the kitchen (faucet A and B). There is a discrepancy with the Lead testing report which indicate a third faucet was tested which passed (faucet B30). Per Staff, only faucet A is being used by the facility.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Kruz LongTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2024
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 3


Document Has Been Signed on 02/08/2024 01:12 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754


FACILITY NAME: OPTIONS HEAD START VILLA PARKE
FACILITY NUMBER: 198017652

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/23/2024
Section Cited
CCR
101700.3(b)(1)

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101700.3(b)(1) California Lead Action Level at Child Care Centers. (b) Testing results with fractional readings of parts per billion (ppb) 0.5 ppb or greater shall be rounded before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
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Per Education Supervisor, faucet B will be tested again. If lead exceedance remains, facility will shut of the faucet for use or faucet will be flushed.
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This requirement is not me at evidenced by Based on inspection, the licensee did not comply with the directive above, as faucet B in the kitchen tested with an exceedance of 13 ppb. This poses a potential health and safety risk to 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: Kruz LongTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: OPTIONS HEAD START VILLA PARKE
FACILITY NUMBER: 198017652
VISIT DATE: 02/08/2024
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Staff stated that the facility uses tap water from faucet A with acceptable levels. Water is placed in jugs so children can drink.

LPA requested the following be submitted: facility sketch and required forms LIC 9275, LIC9276 and LIC999 to be sent to LPA by 02/16/2024.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit
https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

See LIC809D for Type B deficiency cited.

A notice of site visit was also provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted with Caiza Rodriguez, Education Supervisor and a copy this report and appeal rights was provided.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Kruz LongTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3