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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003209
Report Date: 04/18/2022
Date Signed: 04/18/2022 12:30:50 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 04/18/2022 12:30 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 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: DATE:
04/18/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:08 PM
MET WITH:Lead Teacher, Gabriela NunezTIME COMPLETED:
12:45 PM
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This report/inspection was initially conducted on 4/14/22 but was lost due to a consistency check. Original report was final printed and is included in this report as an attachment.

An unannounced Required Annual Inspection was conducted by Licensing Program Analysts (LPA) Bardo Baluyot who met with Assistant, Ms. Trisha Cuomo. This facility operates a morning and afternoon session from 6:30-9:30am and 1-6pm.

LPA observed 2 staff with 11 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 two other bungalows belonging to the Head Start program which are visible from the street. 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. Emergency Drill log was posted and shows last drill Emergency drill was conducted was on 3/24/22

Outdoor area and equipment was inspected for safety, condition and age appropriateness. There is a school playground that is shared with others programs. Children use this playground only 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) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2022
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 SURROUND CARE - MCKINLEY
FACILITY NUMBER: 198003209
VISIT DATE: 04/18/2022
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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 found it to be complete.

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



Site Director 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.

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.

Exit interview was conducted with Site Director, Alicia Gama. Failure to comply with posting requirements shall result in an immediate civil penalty of $100

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/inspection-process.

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2022
LIC809 (FAS) - (06/04)
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