198015375-6-16-2021-33-CC-BBAT-C42SKC-20210616135632

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198015375
Report Date: 06/16/2021
Date Signed: 06/16/2021 01:56:39 PM

COMPREHENSIVE INSPECTION

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 - JORDAN		FACILITY NUMBER:	198015375
ADMINISTRATOR:	CARINA CUEVAS		FACILITY TYPE:	840
ADDRESS:	10654 JORDAN RD.		TELEPHONE:	(562) 947-6461
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90603
CAPACITY:	40	CENSUS:	DATE:	06/16/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Teacher/Sub, Daniel Moreno		TIME COMPLETED:	02:00 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	An unannounced required annual inspection was conducted by Licensing Program Analyst (LPA) Bardo Baluyot. LPA met with Teacher/Sub, Daniel Moreno. The facility consists of a portable that was identified on the facility sketch and inspected. The facility operates on Maybrook Elementary School through Options for Learning while Jordan Elementary campus is under construction. LPA Baluyot visited Jordan location yesterday 6/15/21. Per Mr. Moreno, Jordan SC relocated here about one month prior. LPA observed two children present as well as Associate Teacher, Crystal Cabrera.Program runs a regular program during the school year as well as operates summer session from 8:00 AM to 4:00 PM 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 observed. The condition and age appropriateness of children’s sinks and toilets were inspected. The restrooms allow for individual privacy. LPA evaluated general sanitation and cleanliness of facility. Availability of indoor and outdoor drinking water was observed in form of a water jug and paper cups. Existing water fountains attached to classroom sinks were presently covered as a precaution due to COVID. Carbon Monoxide/Smoke combination detector was tested and functioning. Parents provide all food and snacks. A review of cleaning supplies was done and observed in the staff restroom in locked cabinet. First aid supplies are kept in a locked cabinet where medication is kept. Outdoor area was inspected for safety. There are large trees located near the portable that provide shade and benched tables are available for rest. Play area was inspected for hazards and inaccessibility to bodies of water.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

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 - JORDAN	FACILITY NUMBER: 198015375
	VISIT DATE: 06/16/2021

NARRATIVE

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LPA did not observe any hazards or need for repair. Program is exempt from square-footage requirement. Documentation is on file. After a complete inspection of the facility, there were no deficiencies observed on this date according to California Code of Regulations Title 22 Division 12.

This facility does provide Incidental Medical Services - IMS but per staff, they do not have any currently. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Section 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. First Aid supplies were inventoried.

Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated and was determined that basic needs of children are being met.

Main staff and children's files are stored at the Options Surround Care's main office, located at: 304 South 1st St. Alhambra 91801 Tel # (626) 284-9935

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

Exit interview was conducted with staff, during which appeal rights were explained. This report along with a copy of the appeal rights were provided.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

LIC809 (FAS) - (06/04)

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