Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003517
Report Date: 11/16/2016
Date Signed 11/16/2016 02:18:18 PM

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-CDC- VILLACORTAFACILITY NUMBER:
198003517
ADMINISTRATOR:ISIS CHIRINOSFACILITY TYPE:
850
ADDRESS:17721 E. GEMINITELEPHONE:
(626) 964-8876
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:48CENSUS: 31DATE:
11/16/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Isis ChirinosTIME COMPLETED:
02:20 PM
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An unannounced Annual Site visit was conducted by Licensing Program Analyst, Maria Romo. Met with Site Supervisor, Isis Chirinos.
This facility is a full day program which operates from 6:30 AM to 6:00 PM in buildings #1 & # 2

LPA observed 6 staff with 31 children. Facility is within ratio.

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, 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.

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.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Maria RomoTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2016
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-CDC- VILLACORTA
FACILITY NUMBER: 198003517
VISIT DATE: 11/16/2016
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First Aid supplies were inventoried. A review of medication policy, including administering, labeling, storage, and records were made. Incidental Medical Services (IMS) were discussed. Per Teacher, there is no children receiving IMS service at this time. LPA advised that a written plan of operation would need to be submitted. Please refer to Section 101173 and 101226 for further information on regulatory requirements.

Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met.

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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Maria RomoTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2016
LIC809 (FAS) - (06/04)
Page: 2 of 2