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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191592096
Report Date: 02/06/2024
Date Signed: 02/06/2024 01:45:55 PM

Document Has Been Signed on 02/06/2024 01:45 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-SURROUND CARE-GRANADAFACILITY NUMBER:
191592096
ADMINISTRATOR:ROSEMARY OLACHEAFACILITY TYPE:
840
ADDRESS:100 SOUTH GRANADA AVENUETELEPHONE:
(626) 281-4239
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY: 58TOTAL ENROLLED CHILDREN: 58CENSUS: 21DATE:
02/06/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Amber Cervantes (Education Supervisor)TIME COMPLETED:
02:00 PM
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On February 06,2024, Licensing Program Analyst (LPA) Kruz Long conducted a Case Management - Annual Continuation at the Options Headquarters located at 885 S Village Oaks Dr, Covina, CA 91724. Upon arrival, LPA met with Education Supervisor Amber Cervantes and explained the purpose of the visit.

During today's visit, LPA reviewed records for Staff #1 (S1) and Staff #2 and 5 Children records.
LPA observed both Staff and Children records to be complete.

No deficiencies were observed during today's visit.

Exit interview conducted and a copy of this report provided to Amber Cervantes.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2024
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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