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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003377
Report Date: 02/14/2024
Date Signed: 02/14/2024 03:29:50 PM

Document Has Been Signed on 02/14/2024 03:29 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-WASHINGTONFACILITY NUMBER:
198003377
ADMINISTRATOR:DARLA VILLARUELFACILITY TYPE:
840
ADDRESS:300 N. SAN MARINOTELEPHONE:
(818) 282-1223
CITY:SAN GABRIELSTATE: CAZIP CODE:
91775
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 6DATE:
02/14/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Claudia Arias, Site Director/TeacherTIME COMPLETED:
03:45 PM
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On February 14, 2024, Licensing Program Analyst (LPA) Kruz Long conducted an unannounced case management visit at the facility. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with Claudia Arias, Site Director/Teacher and explained the purpose of the visit. LPA observed 6 children with 1 staff member.

The purpose of the visit is to follow up on an incident that occurred on 02/08/2024 regarding a lock down drill. Per interview with Staff #1, an elementary school staff who is not associated to the facility conducted a lock down drill in the elementary school which the facility is located. During the drill, the facility was closed and no children were present at the time.

No deficiencies are being cited during today’s visit.

An exit interview was conducted and a copy of this report was provided to Claudia Arias, Site Director/Teacher. Notice of Site Visit was also provided and must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2024
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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