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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019509
Report Date: 07/22/2022
Date Signed: 07/22/2022 10:06:29 AM


Document Has Been Signed on 07/22/2022 10:06 AM - 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 FOR LEARNING EAGLE ROCKFACILITY NUMBER:
198019509
ADMINISTRATOR:RITA HIDALGOFACILITY TYPE:
850
ADDRESS:4824 EAGLE ROCK BLVDTELEPHONE:
(626) 206-0734
CITY:LOS ANGELESSTATE: CAZIP CODE:
90041
CAPACITY:73CENSUS: 11DATE:
07/22/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Blanca Lopez, CoordinatorTIME COMPLETED:
10:20 AM
NARRATIVE
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On July 22, 2022 at 9am, Licensing Program Analysts (LPAs) Monique Ayala and Veronica Martinez-Garza conducted an unannounced case management inspection. The purpose of this inspection is to follow up on the COVID-19 outbreak at the facility with Registered Nurse from Department of Public Health, Evelyn Gonzalez. A risk assessment was conducted prior entering the facility. Upon arrival LPA was greeted by coordinator, Blanca Lopez. LPA observed 11 children in care with 4 staff.

During this inspection, Department of Public Health Registered Nurse (DPHRN) observed the facilities efforts to mitigate the spread of COVID-19. The facility has implemented air purifiers, limiting the amount of children per activity and sanitizing all equipment before and after each use.

Prior to arriving at the facility, LPA reviewed the facilities profile and did not observe any COVID-19 cases reported to the department.

The facility was not in compliance with Title 22 Regulations and will be cited a Type B deficiency. The coordinator was reminded that any unusual incident must be reported to the department following Title 22 Regulations. A copy of Reporting Requirements Regulation was provided to the coordinator.

An exit interview was conducted, and a copy of this report was provided to coordinator, Blanca Lopez along with Notice of Site Visit and Appeal Rights.

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/22/2022
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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Document Has Been Signed on 07/22/2022 10:06 AM - 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 FOR LEARNING EAGLE ROCK

FACILITY NUMBER: 198019509

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2022
Section Cited

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Reporting Requirements: Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day... In addition, a written report containing the information
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... Epidemic outbreaks. This requirement was not met as evidence by: Based on LPAs observation there was no incident report provided to the department. 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: Monique Jessica AyalaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 07/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/22/2022
LIC809 (FAS) - (06/04)
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