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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003209
Report Date: 01/28/2020
Date Signed: 01/28/2020 02:55:08 PM

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 SURROUND CARE - MCKINLEYFACILITY NUMBER:
198003209
ADMINISTRATOR:ANNETTE COLBERTFACILITY TYPE:
840
ADDRESS:1425 MANLEY DR.TELEPHONE:
(626) 288-4162
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY:80CENSUS: 12DATE:
01/28/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:16 PM
MET WITH:Alicia GamaTIME COMPLETED:
03:15 PM
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An unannounced annual/random site inspection was conducted by Licensing Program Analysts (LPAs) Ariel Cazares and Katrina Chicote who met with Site Director Alicia Gama. This facility operates a morning and afternoon session from 6:30-9:15am and 12:45-6pm.

LPA observed 2 staff with 12 children. LPA found that facility is within ratio. Care and supervision was evaluated to determine if the basic needs of children are met. LPA observed during this inspection that facility is in compliance of this. LPA reviewed sign in/outs sheets and found complete.
This bungalow is located behind the other two bungalows belonging to the head start program. Children from this program access the site from the McKinley Elementary School. Children have their own outdoor activity space. Furniture and equipment were inspected for age appropriateness and its condition. Telephone service, heating, lighting and ventilation were evaluated. Storage space/area for children's belongings was inspected. The condition and age appropriateness of children’s sinks and toilets were inspected. LPA evaluated general sanitation and cleanliness of facility. Availability of indoor drinking water was observed in form of water fountains attached to sinks. Carbon monoxide detector was tested and found operational.

Outdoor area and equipment was inspected for safety, condition and age appropriateness. There is a school playground that is shared with others programs. Children will utilize this playground when not in use by other programs. Required shade and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. Drinking water is provided in form of water jug and disposable cups.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
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 2
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 SURROUND CARE - MCKINLEY
FACILITY NUMBER: 198003209
VISIT DATE: 01/28/2020
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Snack menus were reviewed. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation area was inspected. A review of cleaning and food supply storage areas was made. LPA inspected First Aid kit’s supplies and completeness.

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

During inspection, no children nor staff files were reviewed as they are kept in the main office: Options State Preschool's main office, located at: 304 South 1st St. Alhambra 91801 Tel # (626) 284-9935



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

No Deficiencies were cited at this inspection.

An exit interview was conducted with Site Director Alicia Gama. A copy of this report and appeal rights were provided.

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

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
LIC809 (FAS) - (06/04)
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