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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004473
Report Date: 08/26/2022
Date Signed: 08/26/2022 02:44:57 PM

Document Has Been Signed on 08/26/2022 02:44 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-LAURELFACILITY NUMBER:
198004473
ADMINISTRATOR:VALERIE PEGUEROFACILITY TYPE:
840
ADDRESS:9055 LAUREL AVENUETELEPHONE:
(626) 284-9935
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 12DATE:
08/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Site Director, Jamie FuentesTIME COMPLETED:
02:50 PM
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An unannounced Required Annual site inspection was conducted by Licensing Program Analyst (LPA), Bardo Baluyot who met with Site Director, Jamie Fuentes. This facility operates a morning and afternoon session from 6:30-8:00am (Monday, Wednesday, Thursday, Friday) and 6:30-8:00am (Tuesday) and 2:15-6pm (MWThF) and 1:15-6pm (T).

There were 12 children in care by the completion of the inspection. LPA reviewed sign in/outs sheets and children's roster.

Portable was identified and inspected. There is another portable located at the opposite end of the property belonging to a separate licensed facility for Options. 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. LPA evaluated general sanitation and cleanliness of facility. Restrooms are located on school campus and shared with school. Availability of indoor drinking water was observed in form of a water jug and cups. Carbon Monoxide/smoke detector were tested and are functioning.

Outdoor area and equipment is located on school campus and is shared with the school. Proper shading and fencing is available. No hazards were observed. Outdoor drinking water is provided in form of water jugs and cups.

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 supplies. Director's First Aid/CPR certification were reviewed and expire 9/2022.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2022
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-LAUREL
FACILITY NUMBER: 198004473
VISIT DATE: 08/26/2022
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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 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.

Child's IMS documentation was reviewed and is complete.

No Deficiencies were cited at this inspection.



No children or staff files were reviewed during today's inspection. Files are kept in Options For Learning main office located at: 885 Village Oaks Dr, Covina, CA 91724 (626)858-0527

Exit interview conducted and report was reviewed with the Site Director, Jamie Fuentes.

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/inspection-process.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2022
LIC809 (FAS) - (06/04)
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