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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 405800703
Report Date: 12/18/2024
Date Signed: 12/18/2024 11:48:14 AM

Document Has Been Signed on 12/18/2024 11:48 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
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:OPTIONS - CIS - ATASCADEROFACILITY NUMBER:
405800703
ADMINISTRATOR/
DIRECTOR:		CHRISTINA HUTCHISONFACILITY TYPE:
775
ADDRESS:5185 EL CAMINO REALTELEPHONE:
(805) 462-0550
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY: 25CENSUS: 16DATE:
12/18/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Christina HutchinsonTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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At 11:00 am on 12/18/2024, Licensing Program Analyst (LPA) Rankin arrived at the main office for Options. LPA conducted an unannounced visit to complete the annual inspection started on 11/19/24. LPA met with CEO Debbie Bertrando and explained the reason for the visit.

Staffing: The facility currently employes 7 staff and 1 Administrator. Staff records are kept confidential in the HR office located within 30 minutes of the facility. Human Resources department provided requested files for LPA to review. LPA reviewed 5 random staff files. Files reviewed had current 1st Aid/CPR training records, 2 had certificates, the other 3 had documented “Training Completion Report” from Options . A copy of the Red Cross instructor certification was provided to show a certified trainer signed off on course completion. Also reviewed were Personnel Records/Application, Health screening with TB results, and Criminal Record statements.

Personnel Records & Training: The facility keeps confidential files on staff training. LPA reviewed staff training records of 8 + hours of annual training.

Exit interview done, copy of report provided.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
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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