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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012105
Report Date: 09/26/2023
Date Signed: 09/26/2023 11:58:22 AM

Document Has Been Signed on 09/26/2023 11:58 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-EARLY LEARNING CENTER-PASADENAFACILITY NUMBER:
198012105
ADMINISTRATOR:ROBERT BOYMANFACILITY TYPE:
850
ADDRESS:1840 NORTH RAYMOND AVENUETELEPHONE:
(626) 858-0527
CITY:PASADENASTATE: CAZIP CODE:
91103
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 19DATE:
09/26/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Alma Campos, Facility RepresentativeTIME COMPLETED:
12:00 PM
NARRATIVE
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On 09/26/2023 at 11:01AM, Licensing Program Analyst (LPA) Thelma Razo and Kruz Long conducted an unannounced Case Management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. A COVID 19 risk assessment was conducted prior to entering the facility. LPA met with facility representative Alma Campos during the visit. Also present in the facility 19 day care children, 4 teachers and 2 assistants. Facility was within ratio & capacity. Facility representative Navid Aguilar arrived later during this inspection.

Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility Director during the inspection. Per AB 2370, all CCCs that are in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

Facility sketch and required forms LIC 9275, LIC9276 and LIC999 was received by the Department on 9/14/2023.

The State Water Resources Control Board (SWRCB) report indicated the facility was inspected and samples were collected. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2023
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: OPTIONS-EARLY LEARNING CENTER-PASADENA
FACILITY NUMBER: 198012105
VISIT DATE: 09/26/2023
NARRATIVE
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  • Drinking Fountain- A (100 UG/L) – LPA observed drinking fountain was removed - picture was taken.
  • Drinking Fountain- C (15 UG/L) – LPA observed drinking fountain was removed - picture was taken.

Staff stated that the facility has not been using the drinking fountain since the pandemic in 2020. Facility uses tap water from the kitchen area.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit
https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information
A deficiency was cited under California Code of Regulation Title 22. See LIC809D.

A notice of site visit was also provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted. Report and Appeal Rights provided to Navid Aguilar.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/26/2023 11:58 AM - It Cannot Be Edited


Created By: Thelma Razo On 09/26/2023 at 11:33 AM
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-EARLY LEARNING CENTER-PASADENA
FACILITY NUMBER: 198012105

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/27/2023
Section Cited
CCR
101700.3(b)(1)

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California Lead Action Level at Child Care Centers. (b) Testing results with fractional readings of parts per billion (ppb) 0.5 ppb or greater shall be rounded before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
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During this inspection, LPAs observed that the two drinking fountain were capped and removed. Deficiency was cleared today.
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This requirement is not me at evidenced by Based on inspection, the licensee did not comply with the directive above. The drinking fountain A and C tested with an Action Level Exceedance (ALE) of 100UG/L and 15 UG/L respectively. This poses a potential health and safety risk to 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.
SUPERVISOR'S NAME:Brandi VanOosten
LICENSING EVALUATOR NAME:Thelma Razo
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2023


LIC809 (FAS) - (06/04)
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