Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003517
Report Date: 03/21/2018
Date Signed 03/21/2018 10:43:55 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-CDC- VILLACORTAFACILITY NUMBER:
198003517
ADMINISTRATOR:ISIS CHIRINOSFACILITY TYPE:
850
ADDRESS:17721 E. GEMINITELEPHONE:
(626) 964-8876
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:48CENSUS: 32DATE:
03/21/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Isis ChirinosTIME COMPLETED:
10:55 AM
NARRATIVE
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An unannounced annual/random site inspection was conducted by Licensing Program Analyst (LPA), Ariel Cazares, who met with Disability Coordinator Isis Chirinos. This facility operates from 6:30am to 6pm.

There are two bungalows belonging to this license, a third bungalow belongs to a different license under the Head Start program. LPA observed 3 staff with 18 children in bungalow #1 and 1 staff with 10 children in bungalow #2. LPA found that facility is operating within ratio. Care and supervision was evaluated to determine if the basic needs of children are met. LPA observed during this inspection that facility is in compliance of this.

LPA reviewed sign in/outs sheets and children's roster. Census was at 32 at the completion of the inspection.

Both bungalows 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 was 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 fountains attached to sinks. Carbon Monoxide/Smoke detectors were inspected in both bungalows and are functioning.

Outdoor area and equipment was inspected for safety, cushioning material, condition and age appropriateness. Required shade and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. Outdoor drinking water is provided in form of a water jug and cups.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2018
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: 03/21/2018
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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. LPA inspected First Aid Kit supplies. First Aid/CPR certification were reviewed. Certification for Staff in bungalow #1 expires in 01/2020 and Staff in bungalow #2 expires in 03/2020.

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 Section 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.

Child #1 & 2 were missing information from their medication documentation. See 809-D for details.

Children and staff files are kept in the main office: Options For Learning main office, located at:


885 S. Village Oaks Dr., Covina CA 91724 (626)858-0527

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

See attached deficiencies page for citations in accordance with Title 22 California Code of Regulations.

An exit interview was conducted with Site Director Lucrecia Arras. A copy of this report and appeal procedures were explained and provided.

The Notice of Site Visit (LIC 9213)must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2018
LIC809 (FAS) - (06/04)
Page: 2 of 3
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/11/2018
Section Cited
H&S 1596.798
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Child day care facility staff administration of inhaled medication; requirements
(2) The licensee or staff person complies with specific written instructions from the child's physician to which all of the following shall apply: (A) The instructions shall contain all of the following information:
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Per Site Director, will communicate this information to her supervisor and the FSS who enrolls children in order to obtain this information.
LPA requested a copy of the documentation.
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(i) Specific indications for administering the medication pursuant to the physician's prescription. (ii) Potential side effects and expected response. (iii) Dose-form and amount to be administered pursuant to the physician's prescription. (iv) Action to be taken in the event of side effects or
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incomplete treatment response pursuant to the physician's prescription. (v) Instructions for proper storage of the medication. (vi) The telephone number and address of the child's physician. The physician's instructions are missing for Child #1 and #2.
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2018
LIC809 (FAS) - (06/04)
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