198008321-4-11-2023-33-CC-VMGA-CQSQUF-20230411122841

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198008321
Report Date: 04/11/2023
Date Signed: 04/11/2023 12:29:03 PM

Document Has Been Signed on 04/11/2023 12:29 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- CDC JELLICK		FACILITY NUMBER:	198008321
ADMINISTRATOR:	CINDY SKOLASKI		FACILITY TYPE:	850
ADDRESS:	1400 S. JELLICK AVENUE		TELEPHONE:	(626) 581-7225
CITY:	ROWLAND HEIGHTS	STATE: CA	ZIP CODE:	91748
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 48	CENSUS: 28	DATE:	04/11/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:41 AM
MET WITH:	Director Wenting Zhang		TIME COMPLETED:	12:35 PM

NARRATIVE

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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced required 1 year inspection at the above facility on 04/11/23 at 8:30AM. A COVID-19 risk assessment was conducted prior to entering the facility. LPA wore appropriate personal protective equipment. LPA met with Director Wenting Zhang. The program operates on the campus of Jellick Elementary School. This Full Day program operates Monday - Friday 7:30 AM - 4:30 PM.

Children attending the Full Day program use portables #1 and #2 which is adjacent to the elementary school. LPA observed Portable #1-15 children with 3 staff and Portable #2- 13 children with 3 staff.

Rooms identified on the facility sketch were inspected. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. LPA attempted to reach the facility to the number on file on 04/07, but the number on file has been disconnected. Facility did not notify the department of the new telephone number. Per Director, the facility has a working telephone number that was changed around August or September of 2022. LPA took a picture of the new number that was posted inside the office board. The rooms are well ventilated via central air/ heat. The refrigerator and microwave were observed to be clean. Availability of drinking water is provided via water jugs with disposable paper cups. Carpeting and flooring were also observed to be clean and maintained. Staff and children's restrooms are available inside the classrooms. LPA observed children’s restroom to be safe and in sanitary operating conditions.

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.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

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- CDC JELLICK	FACILITY NUMBER: 198008321
	VISIT DATE: 04/11/2023

NARRATIVE

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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. 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. Director Wenting Zhang’s First Aid is current and expires 10/2023.

There are six 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 was 03/24/23 and Portable #2 1/25/23. Per Director, a wellness check is conducted upon arrival.

Sign in and out sheets and procedures were reviewed. Portable #1-LPA observed all children physically present were signed in. Portable #2- LPA observed child #1 (C1) present but was not signed in on the following dates 04/10/23 and 04/11/23. Per Director, C1 just started attending and mom is still adapting to the sign in and out procedure. Staff #5(S5) signed in C1. LPA provided consultation with Director.

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 receiving IMS services at this time in Portable #2. There are (0) children receiving IMS services at this time in Portable #1. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s medication records. Portable #2- LPA observed C2 does not have a current approval and instructions for over-the-counter Eczema cream on file. 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

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

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 JELLICK	FACILITY NUMBER: 198008321
	VISIT DATE: 04/11/2023

NARRATIVE

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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.

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

Facility file does not show the current Director Wenting Zhang designated to this site. Changes in Director should be reported to the department within 10 days. Per Director, she has been in this site for 3 years. LPA provided consultation.

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 Director Wenting Zhang and provided Appeal rights.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/11/2023 12:29 PM - It Cannot Be Edited

Created By: Veronica Martinez-Garza On 04/11/2023 at 11:56 AM

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- CDC JELLICK	FACILITY NUMBER: 198008321
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/11/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

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
1 2 3 4	Based on observation, and record review, the licensee did not comply with the section cited above in C1 was not signed in and out the following dates 04/10 and 04/11 from Poratable #2, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/14/2023
	Plan of Correction
1 2 3 4	Director will submit proof of sign in and out for C1 by POC due date

Type B

Section Cited

CCR

101212(b)

Reporting Requirements

(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s). 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 not notifying the department of the new director and submitting required paperwork which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/24/2023
	Plan of Correction
1 2 3 4	Director will contact supervisor to submit Director packet 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: 04/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023

LIC809 (FAS) - (06/04)

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