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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198010813
Report Date: 11/09/2023
Date Signed: 11/09/2023 10:18:13 AM

Document Has Been Signed on 11/09/2023 10:18 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-STATE PRESCHOOL-LAURELFACILITY NUMBER:
198010813
ADMINISTRATOR:DEBORAH SLOBOJANFACILITY TYPE:
850
ADDRESS:9055 LAUREL AVENUETELEPHONE:
(562) 945-8025
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 10DATE:
11/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Esmeralda Franco, Lead TeacherTIME COMPLETED:
10:30 AM
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On November 9, 2023, Licensing Program Analysts (LPAs) Monique Ayala and Kruz Long conducted an unannounced case management inspection. A COVID-19 risk assessment was conducted prior to entering the facility. LPAs met with lead teacher, Esmeralda Franco who guided LPAs on a tour of the facility. LPAs observed 10 children with 2 staff members.

The purpose of the visit is to follow up on an incident that occurred on 10/29/2023 and was reported to the department on 10/30/2023 (reported timely). The self reported incident is regarding personal rights.

During this inspection LPAs interviewed Staff #1 (S1), Child #2 (C2) to Child #4 (C4) and obtained the contact information for Child #1 (C1).

There are no deficiencies being cited today, 11/09/2023 as the incident requires further investigation.

An exit interview was conducted and a copy of this report was provided to lead teacher, Esmeralda Franco. A Notice of Site Visit was provided; Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2023
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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