198017763-3-28-2023-33-CC-VMGA-CQCQW8-20230328123130

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198017763
Report Date: 03/28/2023
Date Signed: 03/28/2023 12:31:39 PM

Document Has Been Signed on 03/28/2023 12:31 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-HEADSTART/CDC-EKSTRAND		FACILITY NUMBER:	198017763
ADMINISTRATOR:	CARMEN RAMOS		FACILITY TYPE:	850
ADDRESS:	440 N. WALNUT AVE		TELEPHONE:	(626) 858-0527
CITY:	SAN DIMAS	STATE: CA	ZIP CODE:	91773
CAPACITY:	45	CENSUS: 28	DATE:	03/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:46 AM
MET WITH:	Site supervisor Carmen Nelson and Education Coordinator Carmen Estrada		TIME COMPLETED:	12:45 PM

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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced required 1 year inspection at the above facility on 03/28/23 at 8:45AM. A COVID-19 risk assessment was conducted prior to entering the facility. LPA wore appropriate personal protective equipment. LPA met with Carmen Nelson, Site Supervisor. LPA observed 28 children present. Education Coordinator Carmen Estrada later arrived and assisted LPA with the rest of the facility tour. The program operates on the campus of Ekstrand Elementary School. This Full Day program operates Monday - Friday 7:30 AM - 4:30 PM.

Children attending the Full Day program use a portable which is adjacent to the elementary school. Furniture and equipment were inspected for age appropriateness and good repair. The room is well ventilated via central air/ heat. The refrigerator, microwave and electric oven were observed to be clean. Carpeting and flooring were also observed to be clean and maintained. A staff and children's restrooms are available inside the classroom. Availability of drinking water is provided via water jugs with disposable paper cups. Cleaning solutions are stored inside a locked cabinet and/or cabinets that are not accessible to children. Children have cubbies to store their personal items in. A variety of games and other learning materials are available. Children at this site do nap. All napping equipment: cots, bedding, and linen were appropriately stored. Bedding and linen are washed on site. Currently the isolation area for ill children is the "office" and ill children use the staff restroom.

The playground is completely fenced with a five-foot chain-link fence. Children have access to a grassy field area, sandbox, and hard yard. Playground equipment was observed to be well anchored and has rubber cushioning underneath to absorb falls. There are shade structures in place and a variety of playground toys and bicycles for children to play with. Water jugs with disposable paper cups are taken outdoors as a drinking source. First Aid supplies are kept in a backpack and were inventoried for quantity and expiration dates. Site Supervisor Carmen Nelson's First Aid is current and expires 04/2024.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Veronica Martinez-Garza	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

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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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-HEADSTART/CDC-EKSTRAND	FACILITY NUMBER: 198017763
	VISIT DATE: 03/28/2023

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There are six staff assigned at this site to ensure that teacher-child ratios are in compliance at all times. LPA found that facility is operating within ratio. Care and supervision was evaluated to determine if the basic needs of children are met. Roster was available and up to date. An Emergency Disaster Drill log is kept. The program conducts routine emergency drills (last recorded 02/16). Per staff, a wellness check is conducted upon arrival. Sign in and out sheets and procedures were reviewed. All children physically present were observed to be signed in.

Menus were reviewed for availability, quantity, and appropriateness to children in care. The program offers breakfast, lunch and an afternoon snack. Meals are provided by Options Food Program which follows mandated Federal Food Guidelines. Meal menus, license, car seat law, parents' rights for centers, emergency disaster plan and all other posting requirements were observed.

This facility provides Incidental Medical Services – IMS . An IMS plan has been submitted. There are (2) children receiving IMS services at this time. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s medication 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

Criminal Record Clearances are a contingency for hire. All clearances are associated to this license. Administrative File #198007099. Mandated Reporter Training Certificate and immunization requirements are also a requirement for hire. More information can be found at: http:/www.mandatedreporterca.com/training /training.htm. All licensed providers, applicants, directors, and employees are required to complete training as specified on the mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Please review all elements outlined in AB 1207- Mandated Reporting Training.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Veronica Martinez-Garza	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

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-HEADSTART/CDC-EKSTRAND	FACILITY NUMBER: 198017763
	VISIT DATE: 03/28/2023

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Per waiver agreement on file for Options, employee and children's records will be reviewed during a collateral inspection at the Covina, CA headquarters.

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

NO DEFICIENCIES ARE BEING CITED IN ACCORDANCE WITH TITLE 22 CALIFORNIA CODE OF REGULATIONS.

Upon receipt, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posted as required will result in a $100 civil penalty.

An exit interview was conducted, and a copy of this report has been signed by Education Coordinator Carmen Estrada and provided. Appeal rights explained.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Veronica Martinez-Garza	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

LIC809 (FAS) - (06/04)

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