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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191597942
Report Date: 06/29/2022
Date Signed: 06/29/2022 10:58:49 AM

Document Has Been Signed on 06/29/2022 10:58 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:OPTIONS SURROUND CARE-EMERY PARKFACILITY NUMBER:
191597942
ADMINISTRATOR:CATHERINE RHODESFACILITY TYPE:
840
ADDRESS:2821 W. COMMONWEALTH AVETELEPHONE:
(818) 284-0561
CITY:ALHAMBRASTATE: CAZIP CODE:
91803
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 27DATE:
06/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Substitue Teacher, Jennifer HerreraTIME COMPLETED:
11:15 AM
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An unannounced annual/random site inspection was conducted by Licensing Program Analyst (LPA), Bardo Baluyot, who met with Substitute Teacher, Jennifer Herrera who guided LPA on a tour of the facility. LPA conducted a COVID risk self assessment upon entry. Site Director, Adriana Vasquez arrived a short time later. This facility is in summer session and operates from 6:30am-6:30pm.

LPA observed 27 children in care at the time of the inspections. Per Ms. Herrera, students from 3 sites are going on a joint field trip and Emery Park is the pick up site. Sites attending the field trip include Northrup, Granada and Emery Park. LPA observed 7 staff present. LPA reviewed sign in/outs sheets and children's roster. LPA observed sign in sheets for each individual site attending the field trip.

LPA identified the portable on the property of Emery Park Elementary School. There is another licensed facility through Options for Learning on the same site. Furniture and equipment were inspected for age appropriateness and its condition. Telephone service, heating, lighting and ventilation were evaluated. Storage space/area for children's belongings was inspected. The condition and age appropriateness of children’s sinks and toilets were inspected. The restrooms are shared with the school and found across the playground. LPA evaluated general sanitation and cleanliness of facility. Availability of indoor drinking water was observed in form of water fountains attached to sinks. Carbon Monoxide/Smoke detector was tested and is functioning.

Outdoor area and equipment was inspected for safety, cushioning material, condition and age appropriateness. Required shade and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. Outdoor drinking water is provided in form of water jug and cups. The playground is also shared with the elementary school.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: OPTIONS SURROUND CARE-EMERY PARK
FACILITY NUMBER: 191597942
VISIT DATE: 06/29/2022
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Snack menus were reviewed. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation area was inspected. A review of cleaning and food supply storage areas was made. LPA inspected First Aid Kit supplies. Site Director Adriana Vasquez's First Aid/CPR certification were reviewed and expires on 7/2023.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm


Per Site Director, there is one child with an IMS currently. LPA reviewed child's epi-pen and found it to be within the expiration date and physician's info and instructions were available.

No children or staff files reviewed during today's visit. Children and staff files are kept in the main office: Options For Learning main office, located at: 885 Village Oaks Dr. Covina, CA 91724 (626)858-0527

No Deficiencies were cited at this inspection.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Substitute Teacher, Jennifer Herrera.

http://www.ccld.ca.gov – To access licensing forms, updates and Title 22 Regulations.


To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022
LIC809 (FAS) - (06/04)
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