198003296-10-13-2022-33-CC-BBAT-CK6UA5-20221013152411

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198003296
Report Date: 10/13/2022
Date Signed: 10/13/2022 03:24:19 PM

Document Has Been Signed on 10/13/2022 03:24 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-COOLIDGE		FACILITY NUMBER:	198003296
ADMINISTRATOR:	YVONNE HERNANDEZ		FACILITY TYPE:	840
ADDRESS:	421 N. MISSION		TELEPHONE:	(818) 282-2824
CITY:	SAN GABRIEL	STATE: CA	ZIP CODE:	91775
CAPACITY:	80	CENSUS: 22	DATE:	10/13/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Site Director, Linda Garcia		TIME COMPLETED:	03:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), Bardo Baluyot conducted a Required Annual site inspection. LPA conducted a COVID risk self-assessment upon entry and met with Site Supervisor, Linda Garcia. LPA observed 22 children in Portable #1 with two staff. Per Site Director, Portable #2 is currently not in use due to low enrollment. However, during District scheduled vacations (Easter, Winter, Spring, etc.) this facility hosts "combo" days where children from neighboring schools' Options programs (Wilson, Washington, Roosevelt & McKinley) use Portable #2. The program operates on the campus of Coolidge Elementary School. Options Surround Care offers before and after school care. The schedule is as follows: 6:30AM - 8AM and 1:40PM - 6:00 PM M-F (children arrive at 1:30 PM on Wednesdays). Teacher-child ratios were observed to be in compliance. Roster was available and up to date. An Emergency Disaster Drill log is kept. The program conducts routine emergency drills (last recorded 9/22/22). Director's First Aid/CPR certifications were reviewed and expire 7/23/24. Sign in and out sheets and procedures were reviewed. Children are signed in by parents or staff upon arrival. Children attending the elementary school are singed in by staff. All children physically present were observed to be signed in. Furniture and equipment were inspected for age appropriateness and good repair. The room is well ventilated via central air. The refrigerator, microwave and electric oven were observed to be clean. Carpeting and flooring were also observed to be well maintained. Availability of drinking water is provided via water jugs with cups. First Aid supplies are maintained on site. Cleaning solutions are stored inside a locked cabinets. Children have cubbies to store their personal items in. A variety of games and other learning materials are available for children. Staff escorts children to restrooms which are located near the program's outdoor area. The outdoor play yard used is adjacent to Portable #2. The playground is completely fenced with a five foot iron fence. Children have access to a grassy field area and hard yard which is well maintained. A water jug and disposable cups are provided during outdoor play and shade is provided via trees. PAGE 1 OF 3

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

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-COOLIDGE	FACILITY NUMBER: 198003296
	VISIT DATE: 10/13/2022

NARRATIVE

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Menus were reviewed for availability, quantity and appropriateness to children in care. The program offers an afternoon snack. Snacks are provided by Options Food Program which follow 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. 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.

No deficiencies cited during today's visit in accordance with Title 22 California Code of Regulations.
All clearances are associated to the Granada Administrative File #191592096.
No children or staff files were reviewed during today's visit. Files are kept in Options For Learning Surround Care's main office located at: 304 S. 1st St, Alhambra CA 91801 (626)284-9935

Exit interview conducted and report was reviewed with Site Director, Linda Garcia.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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

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.

PG 2 of 2

END OF REPORT

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2