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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017643
Report Date: 06/21/2022
Date Signed: 06/21/2022 04:22:50 PM

Document Has Been Signed on 06/21/2022 04:22 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-SCOTTFACILITY NUMBER:
198017643
ADMINISTRATOR:CASSANDRA DOUGLASFACILITY TYPE:
850
ADDRESS:2034 N. FAIR OAKS AVENUETELEPHONE:
(626) 206-0731
CITY:PASADENASTATE: CAZIP CODE:
91103
CAPACITY: 102TOTAL ENROLLED CHILDREN: 102CENSUS: 28DATE:
06/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:39 PM
MET WITH:Teacher, Crystal LunaTIME COMPLETED:
04:30 PM
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An unannounced Required Annual site inspection was conducted by Licensing Program Analyst (LPA), Bardo Baluyot, who met with Teacher,Crystal Luna. This facility operates both a full day program (2 classrooms) and Head Start program (4 classrooms) which has an AM and PM session. Head Start classroom #1 had already left for the day during the time of inspection.

LPA observed a total of 12 staff with 28 children. LPA found that facility is within ratio and care and supervision of children is being met. LPA observed during this inspection that facility is in compliance of this. LPA reviewed sign in/outs sheets and children's rosters for each classroom.

Rooms 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 with disposable cups.

Outdoor area and equipment was inspected for safety, cushioning material, condition and age appropriateness. Required shade, drinking water (water jug and disposable cups) and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water.

LPA inspected First Aid kit’s supplies and completeness. Smoke and Carbon Monoxide detectors are hardwired into facility on the ceilings and are functional. Per Ms.Luna, they are inspected by the Fire Department annually.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2022
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-HEAD START/CDC-SCOTT
FACILITY NUMBER: 198017643
VISIT DATE: 06/21/2022
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LPA inspected the kitchen on site where there was one staff member. Kitchen provides meals and snacks for both the full day and head start programs. Snack/lunch menus were reviewed. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation area was inspected. A review of cleaning and food supply storage areas was made.

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



No children or staff files were reviewed during this visit as they are kept in the main office: Head Start staff and children's files are stored at the Options Head Start main office, located at: 404 Woodbury Road, Altadena, CA 91001 (626)204-8900 and CDC staff and children's files are stored at the 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 Regulations.

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.

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 Teacher, Crystal Luna..

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: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
LIC809 (FAS) - (06/04)
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