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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198006952
Report Date: 08/11/2026
Date Signed: 08/11/2026 03:44:10 PM

Document Has Been Signed on 08/11/2026 03:44 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:OPTIONS SURROUND CARE-RORIMERFACILITY NUMBER:
198006952
ADMINISTRATOR/
DIRECTOR:		MILDRED BALDERRAMAFACILITY TYPE:
840
ADDRESS:18750 E. RORIMERTELEPHONE:
(626) 810-7509
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 32DATE:
08/11/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:55 PM
MET WITH:Lynette Corona - Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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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 08/04/2026. Upon arrival at 1:55pm, LPA met with Facility Representative Lynette Corona, to whom the purpose of the inspection was explained. A tour of the facility was conducted. There were 32 children with 4 staff members.

On 07/16/2026, Child #1 was left unattended on the preschool playground during transition from Rorimer Room 2, to the on site event on school age playground area. During today's inspection, interview with three staff members were conducted.

All staff corroborated that Child #1 (C1) was left on the preschool playground, in front of Rorimer 2. Staff #3 states they were gathering the children to transition to the Rorimer campus, where there was an "onsite field trip." They stated, "[C1] did not want to leave the classroom. I got [them] out the door. I closed and locked up. Walked with [C1] in my hand... I am in the back, [C1] was still next to me. I counted all of them and the 14 children moved up. I walked forward and realized that the gate was open so i turned around to close the gate." When they arrived at the location on site, the headcount was 27 when they had 28 children signed in. Staff #3 turned around and observed Staff #1 walking over with C1. Staff #2 observed C1 on the playground when their group was transitioning into Rorimer 3. They said the child was "wandering, kind of lost." They went over to check on C1 and took them to Staff #1. Per Staff #2, their group was outside during the time Rorimer 2 was transitioning from their classroom. Staff #2 and #3 state the child was left unattended from anywhere between 1-3 minutes. There were no injuries to Child #1. Parent was notified during pick up.

Unusual incident report was not submitted with in the 24hr time requirement.

REPORT CONTINUES PAGE 1 of 2

Ana Chico
Nolan Tcheng
DATE: 08/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2026
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 4
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-RORIMER
FACILITY NUMBER: 198006952
VISIT DATE: 08/11/2026
NARRATIVE
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Based on interview, Child #1 was left unattended from their supervising staff. Child was observed alone near the Rorimer 2 steps, on the preschool playground. There were a group of children and staff on the opposite side of the playground, so child was not left completely unsupervised. There was no immediate danger to Child #1. In addition, incident took place on 07/16/2026, but was reported to the Department on 08/04/2026. Facility is in violation of supervision and reporting requirements.

The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809D for deficiencies that are being cited and need to be cleared to protect the children’s health & safety.

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

Exit interview conducted and report was reviewed with Facility Representative Darla Villarruel, at 3:40pm. Plan of Corrections developed and Copy of Report provided.

END OF REPORT PAGE 3 of 3

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

DATE: 08/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/11/2026 03:44 PM - It Cannot Be Edited


Created By: Nolan Tcheng On 08/11/2026 at 03:20 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OPTIONS SURROUND CARE-RORIMER
FACILITY NUMBER: 198006952

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/11/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/18/2026
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision
(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.
This requirement was not met as evidenced by:
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Per Facility Representative, reinforcing active supervision and communication and will created staff meeting agenda and have staff sign that they were present for the training. It will be scanned and provided to LPA.
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Based on a interview, licensee did not ensure supervision was maintained at all times, when Child #1 was left unattended near the preschool playground, during transtion time. This posed a potential risk to the health, safety, and personal rights of children in care.
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Type B
08/18/2026
Section Cited
CCR101212(d)

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Reporting Requirements
(d) Upon the occurrence...a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.
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Per Facility Representative, the unusua incidentl report (UIR) was reported to the Department. A Memo will be created to share with all parties their responsibility and ability to report incidents to CDSS.
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Based on interview and record review, Licensee did not ensure reporting requirements were met when they reported an unusual incident 19 days after the date of incident. This poses a potential risk to the health, safety, and personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Ana Chico
NAME OF LICENSING PROGRAM MANAGER:
Nolan Tcheng
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2026


LIC809 (FAS) - (06/04)
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