198007099-4-20-2023-33-CC-VMGA-CR4293-20230420171116

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198007099
Report Date: 04/20/2023
Date Signed: 04/20/2023 05:11:20 PM

Document Has Been Signed on 04/20/2023 05:11 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 - WILLOWOOD		FACILITY NUMBER:	198007099
ADMINISTRATOR:	DENISE MCCULLOUGH		FACILITY TYPE:	850
ADDRESS:	2021 ALWOOD STREET		TELEPHONE:	(626) 858-0527
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91790
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 48	CENSUS: 0	DATE:	04/20/2023
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:			TIME COMPLETED:	05:00 PM

NARRATIVE

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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced annual continuation visit to the Options for Learning Full Day Program Headquarters located on 855 S. Village Oaks Dr. Covina, CA 91724 on 04/20/23 at 09:00AM. The purpose of this inspection is to review children and staff files as they were not available for review at the OPTIONS- WILLOWOOD facility during the required 1-year inspection conducted on 04/12/2023. LPA met with Carmen Estrada, Education Coordinator who provided LPA with the children and staff files for review.

Children’s Records were reviewed for completeness: Inspection of required forms was made. LPA issued the Review of Children's Records (LIC 857) to the facility representative during this inspection. The LIC 857 documents the children’s files that were reviewed during this inspection.

Facility Records: All staff have received an active criminal record clearance as a condition of their employment.

Staff’s Records were reviewed for completeness: Inspection of required forms was made. LPA issued the Review of Staff Records (LIC 859) to the facility representative during this inspection. The LIC 859 documents the staff’s files were reviewed during this inspection.

SB792 (Immunization Requirements for Staff and Employees) was discussed with Carmen Estrada, Education Coordinator. All staff files reviewed have the required Immunizations.

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

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023

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 - WILLOWOOD	FACILITY NUMBER: 198007099
	VISIT DATE: 04/20/2023

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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

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

At this time, the facility is in compliance with California Code of Regulations Title 22. No deficiencies cited.

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.

Exit Interview was conducted, appeal rights were given along with a copy of this report was provided to the Education Coordinator, Carmen Estrada.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023

LIC809 (FAS) - (06/04)

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