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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191597942
Report Date: 06/17/2026
Date Signed: 06/17/2026 12:34:44 PM

Document Has Been Signed on 06/17/2026 12:34 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:OPTIONS SURROUND CARE-EMERY PARKFACILITY NUMBER:
191597942
ADMINISTRATOR/
DIRECTOR:		CATHERINE RHODESFACILITY TYPE:
840
ADDRESS:2821 W. COMMONWEALTH AVETELEPHONE:
(818) 284-0561
CITY:ALHAMBRASTATE: CAZIP CODE:
91803
CAPACITY: 69TOTAL ENROLLED CHILDREN: 69CENSUS: 36DATE:
06/17/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Amber Cervantes - Education SupervisorTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management inspection for the purpose of following up on an incident reported to the Department on 06/11/2026. Upon arrival at 9:45am, LPA met with Facility Representative Amber Cervantes, to whom the purpose of the inspection was explained. A tour of the facility was provided and census was taken. There were 36 children with 7 staff members.

On 06/11/2026, there was an altercation between Child #1 (C1) and Child #2 (C2), that resulted in C1 being struck in the head with a metal water bottle by C2. C1 did sustain a small bump but no further medical attention was needed. During today's inspection, LPA conducted interviews with three staff members and two children.

During staff interviews, staff all stated that C1 and C2 are known to hang out with each other and that there has been no history of aggressive behavior with each other. Staff #2, who oversees them during the school year, says that C1 and C2 are not usually physical, "No nothing that is grand. Like they will push each other around while they play tag or chase each other but nothing with malice." Staff #3 (S3) shared that they saw the children aggressively hitting when they observed C2 hitting C1 with the bottle. S3 confirmed that C1 was okay after being hit by the bottle. S3 stated that S4 got in between and intervened after the bottle had been used but that both of them had observed it occur.

C1 was interviewed and stated that they were playing with an iPad when C2 started bothering them. It led to them bothering each other and then hitting each other. Then C2 grabbed the bottle, trying to swing and hit C1 once, and then throwing the bottle. C1 says that the staff tried to stop the incident when the bottle was being used.


REPORT CONTINUES PAGE 1 of 2
NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Nolan Tcheng
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: OPTIONS SURROUND CARE-EMERY PARK
FACILITY NUMBER: 191597942
VISIT DATE: 06/17/2026
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C2 was interviewed during today's inspection as well. They stated that C1 annoys them and was pinching them when they were using the iPad. C2 says they nudged C1 when they wouldn't stop pinching, even when C2 was telling C1 to stop. C2 says he then grabbed the bottle to hit C1. C2 explained that he tried to hit C1 two times, and then S4 stepped in to stop them, but they didn't hear if S4 was telling them to stop verbally before stepping in.

There are some inconsistencies with the information provided from staff and children interviews. It is unclear when staff stepped in to stop the altercation. It is also unclear how the incident started between the two children. LPA is able to confirm that the both children got physical with each other and that it resulted in C2 grabbing the bottle and hitting C1. Staff were confirmed to be present in the classroom and observed the physical altercation unfold.

Based on the information gathered, Staff were present in the classroom and did intervene in the incident. First aid and communication with administration and parents took place. There was no previous aggressive history between C1 and C2. There does not appear to be a violation of lack of supervision or personal rights that took place. No deficiencies are being cited in during today's inspection. LPA is providing an Advisory Technical Assistance to address how to prevent and respond moving forward.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Facility Representative Karina Garcia, at 12:40pm. Copy of Report provided.

END OF REPORT PAGE 2 of 2

NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Nolan Tcheng
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
LIC809 (FAS) - (06/04)
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