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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191598180
Report Date: 04/11/2023
Date Signed: 04/11/2023 04:23:16 PM

Document Has Been Signed on 04/11/2023 04:23 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:OPTIONS SURROUND CARE-KILLIANFACILITY NUMBER:
191598180
ADMINISTRATOR:DARLEEN JUAREZFACILITY TYPE:
840
ADDRESS:19120 E. KILLIANTELEPHONE:
(818) 913-1117
CITY:ROWLAND HEIGHTSSTATE: CAZIP CODE:
91748
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 16DATE:
04/11/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Substitute Debra FernaldTIME COMPLETED:
04:35 PM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced 1-year required inspection at the above facility on 04/11/23 at 02:00PM. A COVID risk assessment was conducted upon entry- appropriate PPE was used. LPA met with Debra Fernald, Substitute and Amanda Castellanos, Assistant. Children were not present during the initial inspection but later arrived at 2:30PM. LPA observed 16 children present. The program operates on the campus of Killian Elementary School. Options Surround Care offers before and after school care. The schedule is as follows: 6:30 AM - 9:30 AM and 1:00 PM - 6:00 PM.

At this time the program uses portable #1 to house the children attending the before and after school program. Furniture and equipment were inspected for age appropriateness and good repair. The room is well ventilated via central air. Carpeting and flooring were observed to be clean. Availability of drinking water was also observed via water jugs with paper cups. First Aid supplies are on the premises. Carbon monoxide detector was tested at 2:06PM. Cleaning solutions are stored inside a locked cabinet. LPA observed a variety of games and other learning materials available for children. Children have cubbies to store their personal items in. Staff escorts children to restrooms which are located outdoors.

The outdoor play yard used is directly in front of the portable. The playground is completely fenced with a five-foot chain linked fence. Children have access to a grassy field and play structures that are age appropriate and is surrounded by rubber cushioning underneath to absorb falls. LPA observed several cracks on the rubber cushion for both play structures. Per assistant, a work order has been placed through the school district. Teachers take water jug with cups when outdoors. Shade is provided via trees and adjacent structures.

Roster was available and up to date. An Emergency Disaster Drill log is kept. .The program conducts routine emergency drills (last recorded 03/24/23). Sign in and out sheets and procedures were reviewed. Children are signed in by parents or staff upon arrival. Children attending the elementary school are signed in by staff.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2023
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-KILLIAN
FACILITY NUMBER: 191598180
VISIT DATE: 04/11/2023
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Menus were reviewed for availability, quantity, and appropriateness to children in care. The morning program offers breakfast only when school is not in session, and the afternoon session provides a snack. During school, children eat breakfast at the cafeteria. Snacks are provided by Options Food Program which follow mandated Federal Food Guidelines. Meal menus, license, car seat law, parents' rights for centers, emergency disaster plan and all other posting requirements were observed.

This facility provides Incidental Medical Services – IMS. An IMS plan has been submitted. There is currently (1) child receiving IMS services. All medications were checked for expiration dates and were current. 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.

All clearances are associated to the Granada Administrative File #191592096. Mandated Reporter Training Certificate and new immunization requirements are also a requirement for hire. More information can be found at: http:/www.mandatedreporterca.com/training /training.htm. All licensed providers, applicants, directors, and employees are required to complete training as specified on the mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Please review all elements outlined in AB 1207- Mandated Reporting Training.

Per waiver agreement on file for Options, employee and children's records will be reviewed during a collateral inspection at the Alhambra, CA headquarters.

NO DEFICIENCIES ARE BEING CITED IN ACCORDANCE TO TITLE 22 CALIFORNIA CODE OF REGULATIONS.

Upon receipt, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posted as required will result in a $100 civil penalty.

An exit interview was conducted with Substitute, Debra Fernald and a copy of this report has been signed by and provided. Appeal rights were also provided.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023
LIC809 (FAS) - (06/04)
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