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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017794
Report Date: 07/12/2022
Date Signed: 07/12/2022 12:15:21 PM

Document Has Been Signed on 07/12/2022 12:15 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 HEAD START/CDC - MEMORIAL PARKFACILITY NUMBER:
198017794
ADMINISTRATOR:LAURA ANGUIANOFACILITY TYPE:
850
ADDRESS:328 N. ORANGE AVE.TELEPHONE:
(626) 967-7848
CITY:AZUSASTATE: CAZIP CODE:
91702
CAPACITY: 135TOTAL ENROLLED CHILDREN: 135CENSUS: 11DATE:
07/12/2022
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Lead Teacher, Amber DichosaTIME COMPLETED:
12:30 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 unannounced annual site inspection was conducted by Licensing Program Analyst (LPA), Bardo Baluyot, who met with Lead Teacher, Amber Dichosa. LPA conducted a COVID risk self-assessment upon entry. Site Coordinator, Carmen Estrada arrived a short time later. There were a total of 11 children and 4 staff. Facility was in compliance with ratio.

Program currently operates a Full Day program in Portable A from 7:30 AM to 4:30 PM. Per Site Coordinator, Head Start program in Portables B & C will resume on 8/8/22 and operates a morning session from 8:15 AM to 11:45 AM and an afternoon session from 12:15 PM to 3:45 PM. Two separate classes operate within each portable. Currently, Portable A operates only 1 class due to low enrollment.

Classrooms identified on facility sketch were inspected. Furniture and equipment were inspected for age appropriateness and its condition. Telephone service, heating, lighting and ventilation were evaluated. Storage space/area for children's belongings were inspected. The condition and age appropriateness of children’s sinks and toilets were inspected. LPA evaluated general sanitation and cleanliness of facility. Availability of indoor drinking water was observed in form of water jugs and disposable cups.

Outdoor area and equipment was inspected for safety, cushioning material, condition and age appropriateness. Required shade, drinking water (water jug and cups are taken outdoors) and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. No bodies of water observed.

Kitchen was inspected for the following: Snack/lunch menus were reviewed. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2022
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 2
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 HEAD START/CDC - MEMORIAL PARK
FACILITY NUMBER: 198017794
VISIT DATE: 07/12/2022
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
26
27
28
29
30
31
32
LPA inspected First Aid Kit’s supplies and completeness.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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


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.

No children or staff files were reviewed during this visit as they are kept in the main office: Options State Preschool's main office, located at: 18455 E. Railroad St. City of Industry, CA 91748. Tel # (626) 854-3449

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.

Exit interview conducted and report was reviewed with the Site Coordinator, Carmen Estrada.

INTERNET ADDRESS: http://www.ccld.ca.gov – To access licensing forms, updates and Title 22 Regulations.



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.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2