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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005301
Report Date: 10/07/2022
Date Signed: 10/07/2022 10:47:49 AM

Document Has Been Signed on 10/07/2022 10:47 AM - 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-STATE PRESCHOOL-CALIFORNIAFACILITY NUMBER:
198005301
ADMINISTRATOR:DEBORAH SLOBOJANFACILITY TYPE:
850
ADDRESS:1125 BAINBRIDGETELEPHONE:
(626) 814-0405
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 33DATE:
10/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Teacher Sally LujanTIME COMPLETED:
11:00 AM
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An unannounced Required Annual site inspection was conducted by Licensing Program Analysts (LPA's), Bardo Baluyot and Enjoli Maeweather,who met with Teacher, Sally Lujan. This facility operates a Full Day Preschool and State Preschool under the same license. The full day program operates from 6:30am to 6:00pm, and the State Preschool operates AM 8 AM-12 PM.

There are 3 portables on this site; Portable 1 & 2 are Full Day Preschool and Portable 3 is State Preschool. LPA observed the following: Portable 1 had 10 children with 2 staff, Portable 2 had 8 children with 2 staff, and Portable 3 had 15 children with 3 staff. 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.

Portables were identified and 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 tested 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 water jug and cups.

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.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE: DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/07/2022
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-STATE PRESCHOOL-CALIFORNIA
FACILITY NUMBER: 198005301
VISIT DATE: 10/07/2022
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LPA inspected First Aid Kit supplies. Ms. Lujan's CPR/First Aid certifications were reviewed and expire on 6/29/23.

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/inspection-process.

No deficiencies cited during today's visit.

No children or staff files were reviewed during today's visit. Files are kept in the Options For Learning main office, located at: 18455 E. Railroad St, City of Industry CA 91748 (626)854-3449 (State Preschool) 885 S. Village Oaks Dr, Covina CA 91724 (626)858-0527 (Full Day Preschool)



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


Exit interview conducted and report was reviewed with the licensee Teacher, Sally Lujan. A copy of this report and appeal procedures were provided.

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.

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/inspection-process.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
LIC809 (FAS) - (06/04)
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