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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005079
Report Date: 11/22/2024
Date Signed: 11/22/2024 12:56:59 PM

Document Has Been Signed on 11/22/2024 12:56 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-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: 20DATE:
11/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Esmeralda Franco - Lead TeacherTIME VISIT/
INSPECTION COMPLETED:
01:05 PM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management inspection to follow up on an incident reported to the Department on 11/14/2024. Upon arrival at 11am, LPA met with Lead Teacher Esmeralda Franco, to whom the purpose of the inspection was explained. A tour of the facility was provided and children were observed to be present during the time of inspection.

Census was taken. There were 20 children with 9 staff members.

On 11/07/2024, an incident took place where Child #1 bit Child #2 while at the facility. Facility was notified on 11/13/2024 that Child #2 received medical treatment for the injury. Facility reported to Department within the required 24hrs. LPA is following up to determine if a violation of Personal Rights has occurred.

Immediately, following the incident, staff provided first aid and spoke with both children involved. Parents were contacted for both children. LPA conducted interview with one staff member during today's inspection and obtained documents in the form of email threads and Site Visit Forms.

Based on the information gathered during today's inspection, Facility has been responding appropriately to the incident at the facility. LPA determined that there was no violation of Personal Rights.

No deficiencies are being cited during today's inspection.

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

Exit interview conducted and report was reviewed with Lead Teacher Esmeralda Franco, at 12:50pm. Copy of Report provided.

END OF REPORT

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2024
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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