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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017671
Report Date: 05/12/2026
Date Signed: 05/12/2026 12:39:39 PM

Document Has Been Signed on 05/12/2026 12:39 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 - HEAD START/CDC - ARROYOFACILITY NUMBER:
198017671
ADMINISTRATOR/
DIRECTOR:		BELEN AMAVISCAFACILITY TYPE:
850
ADDRESS:836 WEST WOODBURY ROADTELEPHONE:
(626) 206-0733
CITY:ALTADENASTATE: CAZIP CODE:
91001
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 36DATE:
05/12/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Priscilla Marin - Lead TeacehrTIME VISIT/
INSPECTION COMPLETED:
12:50 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 05/06/2026. Upon arrival at 8:45am, LPA met with Facility Representative Priscilla Marin, to whom the purpose of the inspection was explained. Facility Representative Lucia Ontiveres arrived soon after. A tour of the facility was conducted and census was taken. There were 36 children with 9 staff members.

On 04/29/2026, parent of Child #1 (C1) contacted the facility to share that C1 had told them that Staff #1 (S1) had thrown them from their cot during nap time and hit them in the mouth. Options For Learning conducted internal investigation regarding the reported incident. During today's inspection, LPA conducted interviews with four staff members, and two children. At the time of the inspection, Parent of C1 was unable to take phone interview. C1 was not present at facility to conduct interview as well.

During interviews, Staff #2 & 3 made no disclosures regarding the incident that was submitted to the department. Staff #4 (S4) stated that there has been no previous history of S1 having any issues of a similar nature. S4 says that C1 had a history of sometimes saying "you hit me" or "you pushed me" at any physical contact, even accidental. Interview with Staff #1 corroborated that C1 will react with "you hit me, you hit me." S1 explained that there was an incident during nap time where C1 was playing and flipping their napping cot. S1 was reminding C1 to be safe and to lay down for rest. S1 heard C1 crying and came over to check on them. They had injured their bottom lip, they requested Staff #2 to get an ice pack for C1. Injury report was created in Hubbe. Parent was contacted and informed. LPA obtained copy of the injury report. S1 stated that C1 did say "you hit me, you hit me" but S1 had to remind them that they were helping him.

REPORT CONTINUES PAGE 1 of 2

NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Nolan Tcheng
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2026
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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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 - HEAD START/CDC - ARROYO
FACILITY NUMBER: 198017671
VISIT DATE: 05/12/2026
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Based on interviews conducted and information gathered, there is not a preponderance of evidence to prove the alleged incident did or did not occur. There is corroborating information about how C1 reacts during certain situations of contact or similar nature. There is documented incident/injury on Hubbe that reflects S1 assisting C1 when they hurt their lip during nap time around the date that licensee was made aware of the situation.. No disclosures were made regarding the alleged incident during today's interviews. At this time, no citations are being provided, in occurrence with California Title 22 Regulations.

Incident report was not reported to the Department within the 24hr requirement. LPA is providing an Advisory Note Technical Violation to address it with licensee.

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

Exit interview conducted and report was reviewed with Facility Representative Lucia Ontiveres, at 12:20pm Copy of Report provided.

END OF REPORT PAGE 2 of 2

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

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC809 (FAS) - (06/04)
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