<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014327
Report Date: 03/12/2024
Date Signed: 03/12/2024 11:42:53 AM

Document Has Been Signed on 03/12/2024 11:42 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:OPTIONS-STATE PRESCHOOL-ST. PAULSFACILITY NUMBER:
198014327
ADMINISTRATOR:DEBORAH SLOBOJANFACILITY TYPE:
850
ADDRESS:242 E. ALVARADO STREETTELEPHONE:
(626) 854-3449
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 4DATE:
03/12/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Director Laura ContrerasTIME COMPLETED:
12:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 03/12/2024, at 9:35 AM, Licensing Program Analyst (LPA) Stephanie Li conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. LPA met with facility director Laura Contreras, during the visit. Facility is located on St.Pauls church property. Entrance from Alvarado street leads directly to preschool classrooms Pomona 1 and Pomona 2 operating under license 198014328. Classroom 3 operates under facility number 198014327 and is located in the back of the property to the left of the playground. Classroom 3 is divided into 2 rooms separated by a ramp and two step ways. Facility is licensed for children 2 years old through first grade but is currently servicing toddlers ages 2-3 and using the left side of the room. Present in the facility were 4 toddler children and 3 teachers/staff. Facility was within ratio & capacity. A Covid risk assessment was conducted.

LPA observed the back room used as storage and office space. Appliances and supplies were observed to be accessible to children through the ramp and 2 step ways. LPA advised Director to make teacher/storage space inaccessible to toddlers in care with baby gates with doors. LPA advised that gates are not to be used in children’s ON limit areas, however can be used to separate OFF limit areas.

Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.


Page 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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-STATE PRESCHOOL-ST. PAULS
FACILITY NUMBER: 198014327
VISIT DATE: 03/12/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Facility provided facility sketch and required forms LIC 9276, LIC999 and LIC9275 to LPA on 03/12/24.

On 11/02/2023, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 10/28/2023. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

B – Left sink Water fountain spout in toddler classroom 3 (6.200 UG/L) – Director stated they use bottled water since Covid and not currently using the water fountain. Per Director, the water fountain was previously capped off during Covid but Options facilities maintenance installed the water fountain back on. LPA observed that the fountain is accessible to children and Director made in accessible during visit by placing "out of order/do not use" sign on and around the water fountain spicket and securing a plastic bag around the outlet. Director stated that maintenance was contacted and they are going to cap off the outlet.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

See LIC809D for Type B deficiency cited.

Exit interview conducted and report was reviewed with the facility representative, Director Laura Contreras. Appeal rights were provided to facility today.

A notice of site visit was also provided and must remain posted for 30 days.

page 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/12/2024 11:42 AM - It Cannot Be Edited


Created By: Stephanie Li On 03/12/2024 at 11:17 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OPTIONS-STATE PRESCHOOL-ST. PAULS
FACILITY NUMBER: 198014327

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/19/2024
Section Cited
CCR
101700.3(b)(1)

1
2
3
4
5
6
7
101700.3(b)(1) California Lead...Level at Centers. (b) Testing results with...0.5 ppb or greater...(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Per Director, facility maintenance was contacted and on their way today to cap off the 'B' outlet. Per Director they will not be using the water fountains as they provide bottled water. Director will take photo of capped water fountain and email picture to LPA by 3/19/24.
8
9
10
11
12
13
14
Based on record review, the licensee did not comply with the directive above, as one outlet (left water fountain located in toddler classroom 3) out of three outlets tested with an Action Level Exceedance (ALE). This poses an immediate Health and Safety risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Christina Gabelman
LICENSING EVALUATOR NAME:Stephanie Li
LICENSING EVALUATOR SIGNATURE:
DATE: 03/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3