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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014553
Report Date: 09/13/2024
Date Signed: 09/13/2024 09:15:29 AM

Document Has Been Signed on 09/13/2024 09:15 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 CDC - ROOSEVELTFACILITY NUMBER:
198014553
ADMINISTRATOR/
DIRECTOR:		ROCIO ARROYOFACILITY TYPE:
850
ADDRESS:5356 DELTA AVENUETELEPHONE:
(626) 858-0527
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY: 48TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
09/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Elizabeth Salinas, Site DirectorTIME VISIT/
INSPECTION COMPLETED:
09:30 AM
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On 09/13/2024, Licensing Program Analysts (LPAs) Kruz Long and Priscilla Ochoa conducted an unannounced case management visit. A COVID-19 risk assessment was conducted. LPA met with Elizabeth Salinas, Site Director and explained the purpose of the visit. LPA observed 7 children with 3 staff members.

The purpose of the visit is to deliver investigation findings on an incident that occurred on 07/24/2024 and was reported to the department on 07/29/2024. The self reported incident is regarding personal rights.

During the course of the investigation, LPAs obtained a copy of the Children roster, interviewed Staff #1 (S1) to Staff #4 (S4), Child #1 (C1) to Child #3 (C3) and attempted to interview Child #4 (C4) and interviewed Parent #1 (P1) to Parent #3 (P3).

Based on interviews with S1 to S4, P1 to P 3 and C2 to C3, there were no corroborating information to determine that a personal rights violation occurred. The facility is not being cited any deficiencies today.

An exit interview was conducted and a copy of this report was provided to the Site Director.

A Notice of Site Visit was provided; Notice of Site Visit must be posted for 30 days.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2024
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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