191597108-4-12-2023-33-CC-VMGA-CQU2EV-20230412172034

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191597108
Report Date: 04/12/2023
Date Signed: 04/12/2023 05:20:46 PM

Document Has Been Signed on 04/12/2023 05:20 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 SURROUND CARE-BRIGHTWOOD		FACILITY NUMBER:	191597108
ADMINISTRATOR:	NATHANIEL GUTIERREZ		FACILITY TYPE:	840
ADDRESS:	1701 BRIGHTWOOD		TELEPHONE:	(818) 261-9818
CITY:	MONTEREY PARK	STATE: CA	ZIP CODE:	91754
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 40	CENSUS: 16	DATE:	04/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Site Director Kelly Quach		TIME COMPLETED:	05:35 PM

NARRATIVE

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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced 1-year required inspection at the above facility on 04/12/23 at 02:00PM. A COVID risk assessment was conducted upon entry- appropriate PPE was used. LPA met with Site Director Kelly Quach and assistant Efrain Solbabarro. LPA observed 16 children present. There are currently 21 children enrolled. The program operates on the campus of Brightwood Elementary School. Options Surround Care offers before and after school care. The schedule is as follows: 6:30 AM - 6:00 PM.

At this time the program uses portable #1 to house the children attending the before and after school program. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. The room is well ventilated via central air. Carpeting and flooring were observed to be clean. Availability of drinking water was also observed via water jugs with paper cups. First Aid supplies are on the premises, however, supplies are outdated. Carbon monoxide detector was tested at 2:15PM. Cleaning solutions are stored inside a locked cabinet. LPA observed a variety of games and other learning materials available for children. Children have cubbies to store their personal items in.

Children’s restrooms were inspected for availability and good repair. LPA observed age-appropriate sinks and toilets. LPA observed (1) sink out of (3) in the girls restroom located in building P not working. There are other available toilets and sinks on the school premises that children can use. General sanitation was observed. Staff escort children to restrooms which are located outdoors.

The outdoor play yard used is directly in front of the portable. The playground is completely fenced. Children have access to the play structure, swings that are age appropriate and is surrounded by rubber cushioning underneath to absorb falls. LPA observed a hole on the rubber cushion underneath the swings. The swings are not roped off to make it inaccessible to children. Teachers take water jug with cups when outdoors. Shade is provided via trees and adjacent structures.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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 SURROUND CARE-BRIGHTWOOD	FACILITY NUMBER: 191597108
	VISIT DATE: 04/12/2023

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Roster was available and up to date. An Emergency Disaster Drill log is kept. The program conducts routine emergency drills (last recorded 03/24/23). Sign in and out sheets and procedures were reviewed. Children are signed in by parents or staff upon arrival. Children attending the elementary school are signed in by staff.

Menus were reviewed for availability, quantity, and appropriateness to children in care. The morning program offers breakfast only when school is not in session, and the afternoon session provides a snack. During school session, breakfast is provided by the school cafeteria. Snacks are provided by Options Food Program which follow mandated Federal Food Guidelines. Meal menus, license, car seat law, parents' rights for centers, emergency disaster plan and all other posting requirements were observed.

This facility provides Incidental Medical Services – IMS. An IMS plan has been submitted. There is currently (0) child receiving IMS services. 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.

All clearances are associated to the Granada Administrative File #191592096. Mandated Reporter Training Certificate and new immunization requirements are also a requirement for hire. More information can be found at: http:/www.mandatedreporterca.com/training /training.htm. All licensed providers, applicants, directors, and employees are required to complete training as specified on the mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Please review all elements outlined in AB 1207- Mandated Reporting Training.

Per waiver agreement on file for Options, employee and children's records will be reviewed during a collateral inspection at the Alhambra, CA headquarters.

The following deficiencies were cited in accordance with Title 22 of the California Code of Regulations and Health & Safety Codes. Please see 809D for documentation of deficiencies.

Upon receipt, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posted as required will result in a $100 civil penalty.

An exit interview was conducted with Site Director Kelly Quach and a copy of this report has been signed by and provided. Appeal rights were also provided.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/12/2023 05:20 PM - It Cannot Be Edited

Created By: Veronica Martinez-Garza On 04/12/2023 at 04:23 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OPTIONS SURROUND CARE-BRIGHTWOOD	FACILITY NUMBER: 191597108
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238.2(d)(2)

Outdoor Activity Space

(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above in LPA observed a hole on the rubber cushion underneath the swings, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/12/2023
	Plan of Correction
1 2 3 4	Per Education Coordinator (EC), a service request will be submitted to the school district for repair. EC will submit pictures of fixed rubber cushion to LPA by POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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 Chico

LICENSING EVALUATOR NAME:

Veronica Martinez-Garza

LICENSING EVALUATOR SIGNATURE:

DATE: 04/12/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

LIC809 (FAS) - (06/04)

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