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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007099
Report Date: 04/12/2023
Date Signed: 04/12/2023 12:49:14 PM

Document Has Been Signed on 04/12/2023 12:49 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 - WILLOWOODFACILITY NUMBER:
198007099
ADMINISTRATOR:DENISE MCCULLOUGHFACILITY TYPE:
850
ADDRESS:2021 ALWOOD STREETTELEPHONE:
(626) 858-0527
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 27DATE:
04/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Site Supervisor, Vivian Bautista HerreraTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced required 1 year inspection at the above facility on 04/12/23 at 9:00AM. A COVID-19 risk assessment was conducted prior to entering the facility. LPA wore appropriate personal protective equipment. LPA met with Site supervisor, Vivian Bautista Herrera. LPA observed 27 children present. The program operates on the campus of Willowood Elementary School. This Full Day program operates Monday - Friday 7:30 AM - 4:30 PM. In addition to the Full Day program, Options for Learning also operates a State Preschool in the AM and Head Start program in the PM. Both programs function in a separate portable.

Children attending the Full Day program use a portable which is adjacent to the elementary school. Furniture and equipment were inspected for age appropriateness and good repair. The room is well ventilated via central air/ heat. The refrigerator, microwave and electric oven were observed to be clean. Carpeting and flooring were also observed to be clean and maintained. A staff and children's restrooms are available inside the classroom. Portable #2 submitted a work order for (1) sink that is out of order and a copy was provided to LPA. Availability of drinking water is provided via water jugs with disposable paper cups. Cleaning solutions are stored inside a locked cabinet and/or cabinets that are not accessible to children. Children have cubbies to store their personal items in. A variety of games and other learning materials are available. Children at this site do nap. All napping equipment: cots, bedding, and linen were appropriately stored. Bedding and linen are washed on site. Currently the isolation area for ill children is the "office" and ill children use the staff restroom.

The playground is completely fenced with a five-foot chain-link fence. Children have access to a grassy field area, sandbox, and hard yard. Playground equipment was observed to be well anchored and has rubber cushioning underneath to absorb falls. LPA observed rubber cushion to have some cracks. There are shade structures in place and a variety of playground toys and bicycles for children to play with. Water jugs with disposable paper cups are taken outdoors as a drinking source. First Aid supplies are kept in a backpack and were inventoried for quantity and expiration dates. Site Supervisor Vivian Bautista Herrera First Aid is current and expires 10/2023.

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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.

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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 - WILLOWOOD
FACILITY NUMBER: 198007099
VISIT DATE: 04/12/2023
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There are five staff assigned at this site to ensure that teacher-child ratios are in compliance at all times. LPA found that facility is operating within ratio. Care and supervision was evaluated to determine if the basic needs of children are met. Roster was available and up to date. An Emergency Disaster Drill log is kept. The program conducts routine emergency drills last recorded for portable #1 03/21/23 and portable #2 03/31/23. Per staff, a wellness check is conducted upon arrival.

Sign in and out sheets and procedures were reviewed. Portable #1-LPA observed child #1 (C1) present but was not signed in on 04/12/23. Portable #2- LPA observed all children physically present were signed in. LPA provided consultation with Site Supervisor.

Menus were reviewed for availability, quantity, and appropriateness to children in care. The program offers breakfast, lunch, and an afternoon snack. Meals are provided by Options Food Program which follows 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 are (3) children in portable #1 and (4) children in portable #2 receiving IMS services at this time. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s medication records. LPA observed C3 and C5 have over the counter medications that conflict with parents instructions. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 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

Criminal Record Clearances are a contingency for hire. All clearances are associated to this license. Administrative File #198007099. Mandated Reporter Training Certificate and 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.

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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
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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 - WILLOWOOD
FACILITY NUMBER: 198007099
VISIT DATE: 04/12/2023
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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/process

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

Per waiver agreement on file for Options, employee and children's records will be reviewed during a collateral inspection at the Covina, 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, and a copy of this report has been signed by Site Supervisor, Vivian Bautista Herrera and provided. Appeal rights explained

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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
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Document Has Been Signed on 04/12/2023 12:49 PM - It Cannot Be Edited


Created By: Veronica Martinez-Garza On 04/12/2023 at 12:10 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 - WILLOWOOD
FACILITY NUMBER: 198007099

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(4)(B)2
Health-Related Services
(4) Nonprescription medications may be administered without approval or instructions from the child's physician if all of the following conditions are met: (B) For each nonprescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child. 2. The instructions from the child's authorized representative shall not conflict with the product label directions on the nonprescription medication container(s).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, and record review, the licensee did not comply with the section cited above in C3 and C5 have over the counter medications that conflict with parents instructions which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/14/2023
Plan of Correction
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Site supervisor will speak to parents of C3 and C5, request an updated form and will submit proof to LPA by POC due date
Type B
Section Cited
CCR
101229.1(b)
Sign In and Sign Out
(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, and record review, the licensee did not comply with the section cited above in from 27 children present 26 were signed in and only 1 was not signed in which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/21/2023
Plan of Correction
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Site supervisor will remind parents to make sure they are signing in and out. Proof sign in will be submitted to LPA by POC due date.
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


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