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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019860
Report Date: 06/18/2021
Date Signed: 06/18/2021 11:52:25 AM

Document Has Been Signed on 06/18/2021 11:52 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:OPTIONS FOR LEARNING-STATE PRESCHOOL-LOS NIETOSFACILITY NUMBER:
198019860
ADMINISTRATOR:DEBORAH SLOBOJANFACILITY TYPE:
850
ADDRESS:11143 CHARLESWORTH RDTELEPHONE:
(626) 854-3449
CITY:SANTA FE SPRINGSSTATE: CAZIP CODE:
90670
CAPACITY: 48TOTAL ENROLLED CHILDREN: 0CENSUS: 21DATE:
06/18/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:DirectorTIME COMPLETED:
12:15 PM
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An unannounced Annual Required Inspection was conducted on 06/18/2021 at 10:45 AM by Licensing Program Analyst (LPA) Katrina Chicote. Facility is currently licensed for a capacity of 48. Licensing staff met with Director. The program currently operates Monday thru Friday from 7:30 AM to 4:30 PM. LPA toured the facility both indoors and outdoors.

At the initial start of the site visit, there is a total census of 21 children and a total census of 5 teachers present. The facility is made up of two classrooms, two bathrooms, and a kitchen. At 10:50 AM, LPA observed 11 children with 3 teachers in Room 2. At 10:58 AM, LPA observed 10 children with 2 teachers in Room 1. Furniture and equipment were inspected for age appropriateness and good repair. LPA observed children and staff wearing masks, tape on the ground and acrylic barriers to keep with social distancing per COVID-19 public health guidance. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. Mats/cots were inspected. Per Director, linens are provided by the facility and washed every Friday. Availability of drinking water was reviewed. Due to COVID-19 health and safety protocols, water fountains are not in use and staff give water to children using water bottles and paper cups. LPA observed water bottles and paper cups available. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. Toys observed to be clean. At 11:06 AM, LPA observed medicine kept in a locked storage container in an upper cabinet in Room 1 to have child's name labeled with directions from doctor and/or parent that expires on 02/20/2022.

A first aid kit is kept in each classroom hanging on a wall. Carbon monoxide detectors and smoke detectors are present in the facility. Fire extinguishers have been serviced in May 05, 2021. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. Emergency disaster plan reviewed and last disaster drill was conducted on 05/19/2021. Sick policy was discussed, per Director they conduct morning health checks and if a child is sick a parent is called and child is isolated in the office.
Report Continues - Page 1 of 3
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OPTIONS FOR LEARNING-STATE PRESCHOOL-LOS NIETOS
FACILITY NUMBER: 198019860
VISIT DATE: 06/18/2021
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At 11:03 AM, LPA toured Kitchen and observed self latching gates making Kitchen area inaccessible to children in care. Snack/lunch menus were reviewed. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. LPA observed all trashcans with securely fitting lids through out facility. Facility serves AM snack, lunch, and PM snack.

At 11:08 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. LPA observed sandbox that was covered, bicycles, hula hoops, and other age appropriate toys available for children in care. Required shade and fencing were inspected. LPA Chicote advised Director that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to drinking water through the water bottles staff bring out. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. Personal Rights of children were observed by LPA.

Children’s Records were reviewed. Criminal Record Clearances were reviewed for adults. CPR card expires in 04/11/2021 for Director. Inspection of required forms made.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

The following were discussed with the Director:
LPA informed Director to log onto web site www.ccld.ca.gov to obtain forms and LIVESCAN application. Records for all children and staff must be maintained for three (3) years after separation from the facility.
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SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OPTIONS FOR LEARNING-STATE PRESCHOOL-LOS NIETOS
FACILITY NUMBER: 198019860
VISIT DATE: 06/18/2021
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The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.

Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. Director was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care. The Director was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.

LPA advised Director that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check.

The Director was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation. Director advised to visit www.shotsforschool.org for immunization information.

These forms may also be downloaded from our website: www.ccld.ca.gov

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today 06/18/2021.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.



At 12:00 PM, Exit interview was conducted with Education Coordinator, Merwin Caiza. A copy of this report was given and appeal rights were issued and discussed.
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
LIC809 (FAS) - (06/04)
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