198000028-10-12-2021-33-CC-ACHO-C7QU5T-20211012151716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198000028
Report Date: 10/01/2021
Date Signed: 10/12/2021 03:07:27 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/30/2021 and conducted by Evaluator Bardo Baluyot

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20210930134139

FACILITY NAME:	OPTIONS-STATE PRESCHOOL-EMERY PARK		FACILITY NUMBER:	198000028
ADMINISTRATOR:	DEBORAH SLOBOJAN		FACILITY TYPE:	850
ADDRESS:	2821 W. COMMONWEALTH		TELEPHONE:	(626) 289-0835
CITY:	ALHAMBRA	STATE: CA	ZIP CODE:	91803
CAPACITY:	28	CENSUS:	DATE:	10/01/2021
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Christina Fernandez, Site Director		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Center does not have a working telephone

INVESTIGATION FINDINGS:

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This an amended version of report issued to the facility on 10/1/2021 to amend/reflect it is a public document.

Licensing Program Analyst (LPA) Bardo Baluyot conducted an unannounced complaint inspection regarding the above complaint allegation and conducted a COVID risk assessment prior to entering the facility. LPA met with Christina Fernandez, Site Director who guided the LPA on a tour of the facility. LPA observed only one child present as pick-up or dismissal time is noon. Associate Teacher, Esther Cuessy was also present.

The purpose of the visit is to investigate the complaint related to the allegation that the "facility does not have a working phone line." LPA called the number on file multiple times yesterday and found it to be out of service.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20210930134139

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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-EMERY PARK	FACILITY NUMBER: 198000028
	VISIT DATE: 10/01/2021

NARRATIVE

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LPA informed staff of the issue and management contacted their internet phone provider and resolved issue. Facility recently switched from a land line to an internet line and discovered that voicemail had not been activated. LPA called the number while in the facility and facility phone rang and LPA heard voicemail. Facility also received several calls while LPA was present.

Based on LPAs observation, and statements obtained from interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter) relating to this allegation have been cited on LIC 9099-D. Based on LPA's investigation and information gathered, a Type B citation is being issued today. Deficiencies are cited in accordance with California Code of Regulations, Title 22, Division 12 (see attached LIC 809d)

A Notice of Site Visit is being issued. A Notice of Site Visit was posted today and Site Director was explained that it must remain posted for a period or 30 days. Failure to keep notice posted will result in a civil penalty of $100.00

Upon receipt, facility shall provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

Exit interview conducted and a copy of this report was signed by Site Director, Christina Fernandez via ZOOM app. Appeal rights were explained and amended form emailed to Site Director.

This an amended version of report issued to the facility on 10/1/2021 to amend/reflect it is a public document.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20210930134139

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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-EMERY PARK	FACILITY NUMBER: 198000028
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/01/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/01/2021 Section Cited HSC 101238	1 2 3 4 5 6 7	Buildings and Grounds The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.	1 2 3 4 5 6 7	Management contacted Verizon and resolved issue. LPA observed facility receiving calls. Voicemail now set up and callers able to leave messages.
	8 9 10 11 12 13 14	This requirement is not being met as evidenced by: LPA called number on file and found phone to be out of service. This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021

LIC9099 (FAS) - (06/04)

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