Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003517
Report Date: 04/17/2015 12:00:00 AM
Date Signed 04/17/2015 10:14:45 AM

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-VILLACORTAFACILITY NUMBER:
198003517
ADMINISTRATOR:TRACI SALLADEFACILITY TYPE:
850
ADDRESS:17721 E. GEMINI-BLDG#3TELEPHONE:
(626) 964-8876
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:48CENSUS: 30DATE:
04/17/2015
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Marian RiceTIME COMPLETED:
10:30 AM
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An unannounced Annual Site visit was conducted by Licensing Program Analyst, Daniel Mena. Met with Teacher, Marian Rice.
Full day Program operates from 6:30 AM to 6:00 PM in buildings #1 & # 2. LPA Mena met with teacher, Marian Rice.

Rooms identified on facility sketch were inspected Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings and an isolation area with a sink and toilet were inspected. Age appropriate sinks and toilets were inspected for availability and good repair. General sanitation was observed. Availability of indoor drinking water was observed.

Outdoor area and equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. Napping equipment was observed.

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. A review of cleaning and food supply storage areas was made.

First Aid supplies were inventoried. Please contact Department for regulations if considering using Nebulizer or administering Blood-Glucose testing.
SUPERVISOR'S NAME: Bertha ManzanaresTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Daniel MenaTELEPHONE: (323) 981-3386
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2015
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-VILLACORTA
FACILITY NUMBER: 198003517
VISIT DATE: 04/17/2015
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Main 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.

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.

An exit interview was conducted and Appeal procedures explained.
SUPERVISOR'S NAME: Bertha ManzanaresTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Daniel MenaTELEPHONE: (323) 981-3386
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2015
LIC809 (FAS) - (06/04)
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