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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005079
Report Date: 10/01/2024
Date Signed: 10/01/2024 10:32:19 AM

Document Has Been Signed on 10/01/2024 10:32 AM - 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-STATE PRESCHOOL-CARMELLAFACILITY NUMBER:
198005079
ADMINISTRATOR/
DIRECTOR:
DEBORAH SLOBOJANFACILITY TYPE:
850
ADDRESS:13300 LAKELAND AVE.TELEPHONE:
(562) 946-0704
CITY:SOUTH WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 19DATE:
10/01/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Education Coordinator, Sulema RodriguezTIME VISIT/
INSPECTION COMPLETED:
10:40 AM
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On October 1, 2024, at 9:30 am, Licensing Program Analyst (LPA) Priscilla Ochoa conducted an unannounced case management inspection for the above facility. A COVID-19 risk assessment was conducted prior to entering the facility. LPA was greeted by Lead Teacher, Maria Leidelmeiher who guided LPA on a tour of the facility. At 10:18 Education Coordinator, Sulema Rodriguez joined the inspection. The purpose of this inspection is to follow up on a self-reported incident that occurred at the facility. This incident was reported to the department on 9/20/2024 and is a possible personal rights violation. LPA observed 19 children in care with 5 staff members.

During this inspection, LPA obtained facility roster. At this time, this incident required further investigation.

All reporting requirements were met. There are no deficiencies being cited at this time.

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

An exit interview was conducted, and a copy of this report was provided, along with appeal rights to Education Coordinator, Sulema Rodriguez.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
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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