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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500936
Report Date: 02/26/2026
Date Signed: 02/26/2026 12:28:31 PM

Document Has Been Signed on 02/26/2026 12:28 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-STATE PRESCHOOL-JELLICKFACILITY NUMBER:
191500936
ADMINISTRATOR/
DIRECTOR:		MILDRED BALDERRAMAFACILITY TYPE:
850
ADDRESS:1400 S. JELLICKTELEPHONE:
(626) 810-0163
CITY:ROWLAND HEIGHTSSTATE: CAZIP CODE:
91748
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 10DATE:
02/26/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Pilar Duran - Lead TeacherTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management inspection, for the purpose of following up on an incident reported to the Department on 02/18/2026. Upon arrival at 8:35am, LPA met with Facility Representative Pilar Duran, to whom the purpose of the inspection was explained. A tour of the facility was conducted. There were 10 children with 3 staff members.

On 02/17/2026, at just before 8am, the parent of an enrolled child came to the facility and began to be verbally aggressive with staff members. Parent was reportedly upset due to their child stating they had their personal rights violated by another child in care and wished to speak with someone higher up than the teacher position. During today's inspection, LPA conducted interviews with four staff members, one parent, and three children. Per Staff interviews, all staff interviews corroborated that Parent #1 came to facility and was verbally loud and aggressive towards staff in the presence of children. They had the Parents move to office area as children were arriving but was still able to be heard by the class. Per Staff #1-3, they were attempting to get a hold of Education Supervisors, but were unable to get a hold of anyone immediately. They continued to try contacting them until they were able to get a hold of them to come to the facility.

Per staff interviews, Parent #1 stated that Child #1 (C1) had shared that Child #2 (C2) had violated C1's personal rights in the restroom. Per all staff members, staff are always at the restroom doors when a child is using the restroom to help keep children organized and from going in at the wrong time. LPA observed that the restrooms are individual and not meant for more than one child at a time. Staff keep children in line and are monitoring the restroom usage when children need it. Parent also stated that during nap time, C1's personal rights were violated by C2. Per staff interviews, Child #1 and Child #2 do not nap near each other and there are two staff at all times during nap time that would observe any child getting up.

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: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2026
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-STATE PRESCHOOL-JELLICK
FACILITY NUMBER: 191500936
VISIT DATE: 02/26/2026
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LPA conducted phone interview with Parent #2, who stated Child #1 had informed them that morning of 02/17/2026, as they were dropping off that Child #2 had violated their personal rights. Parent #2 stated "They were refusing to get us help, and we called the police to get the help that we were needing... We were pushed to the office, and they were saying there was no supervisor."

Police were contacted and they arrived on the scene to review the the claims by Parents of Child #1 and to review the facility with staff. Per Parent #2, the police were going to conduct their investigation and get back to them with further information. LPA was unable to get in contact with Officers during today's inspection.

Children interviews gave no disclosures regarding the alleged incident.

Based on the information above, there is not enough evidence at this time to determine that Child #2 did or did not violate Child #1's personal rights at the facility. All staff gave consistent information to licensing staff during interviews. Facility addressed the self reported incident with parent being verbally aggressive in the presence of children and had them move to the office, away from classroom.

At this time, no deficiencies are being cited in accordance with California Title 22 Regulations.

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

Exit interview conducted and report was reviewed with Facility Representative Pilar Duran, at 12:25pm. 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: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC809 (FAS) - (06/04)
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