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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191593084
Report Date: 10/28/2022
Date Signed: 10/28/2022 03:39:28 PM

Document Has Been Signed on 10/28/2022 03:39 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-YORBITAFACILITY NUMBER:
191593084
ADMINISTRATOR:BLANCA VASQUEZFACILITY TYPE:
840
ADDRESS:520 S. VIDALIATELEPHONE:
(818) 284-9935
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 9DATE:
10/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Site Director, TIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA), Bardo Baluyot conducted an unannounced Required Annual random inspection. Upon arrival, LPA conducted a COVID risk self-assessment and met with Substitute Teacher/Office Assistant, Alyssa Manalo. LPA observed (9) school age children present with (1) staff. The program operates on the campus of Yorbita Elementary School (K-6th). Options Surround Care offers before and after school care. (Mondays) 6:30-9:30AM and 1-6PM.
(Tuesday -Friday) 6:30-9:45AM and 1:15-6PM

Children attending the before and after school program use one portable. The portable is adjacent to the elementary school. 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 jug and cups. First Aid supplies are maintained on site. Cleaning solutions are stored inside a locked cabinet. Children have cubbies and/ or hooks to store their personal items in. A variety of games and other learning materials are available. The restrooms used by children is located next to the adjacent portables. Children are escorted as a group during bathroom breaks.

Teacher-child ratio was observed to be in compliance. Roster was available and up to date. An Emergency Disaster Drill log is posted. The program conducts routine emergency drills (last recorded 8/31/22). First Aid/ CPR observed to be current for Ms. Manalo and expires on 8/2/2024. Sign in and out sheets and procedures were reviewed. Children are signed in by parents or staff upon arrival. Children attending the elementary school in the after noon are singed in by staff. All children physically present were observed to be signed in.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2022
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 3
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-YORBITA
FACILITY NUMBER: 191593084
VISIT DATE: 10/28/2022
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Surround Care uses the elementary school's hard yard/basketball courts located next to surrounding portables. Water fountains are available outdoors to ensure that children are provided with water freely. Per staff, a water jug and disposable cups are also brought out during outdoor play.

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.

Per staff, there are currently (0)children with and IMS.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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 ARE BEING CITED IN ACCORDANCE TO 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. File are kept in the Options Surround Care main office located at 304 S. 1st Street Alhambra, CA 91801 (626)284-9935





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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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-YORBITA
FACILITY NUMBER: 191593084
VISIT DATE: 10/28/2022
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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.

Exit interview conducted and report was reviewed with the Substitute Teacher, Alyssa Manalo.

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.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3