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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019493
Report Date: 02/03/2026
Date Signed: 02/03/2026 04:23:58 PM

Document Has Been Signed on 02/03/2026 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:OPTIONS FOR LEARNING SCHOOL AGE BALDWINFACILITY NUMBER:
198019493
ADMINISTRATOR/
DIRECTOR:
TRACY LYNCHFACILITY TYPE:
840
ADDRESS:900 S. ALMANSOR STREETTELEPHONE:
(626) 967-9337
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY: 68TOTAL ENROLLED CHILDREN: 68CENSUS: 17DATE:
02/03/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Yuliana Chacon - Education SupervisorTIME VISIT/
INSPECTION COMPLETED:
04:40 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Nolan Tcheng and Caroline Nguyen conducted an unannounced Case Management inspection for the purpose of following up on an incident self reported to the Department on 01/28/2026. Upon arrival at 2pm, LPAs met with Facility Representative Yuliana Chacon, to whom the purpose of the inspection was explained. A tour of the facility was conducted and census was taken. There were 17 children with 4 staff members.

On 01/26/2026, two children in care were sent to the elementary school front office to pick up food for Staff #1 (S1) . During their walk to the office, and back to the group, the children were without staff supervision. They arrived at the front of the school and received the food from the delivery driver. LPAs interviewed two staff members and two children. Staff #1 was contacted via telephone regarding the incident and disclosed, "I was outside with the kids and I sent two [kids] to the front without supervision." Staff #1 continued to explain that they were picking up food from an order for them (S1). Child #2 corroborated that they, and Child #1, were sent to the front to pick up food for Staff #1. When asked who did they receive the food from, Child #2 stated that they got it from the delivery person. LPAs obtained written statements from staff and children involved in the incident. A written statement from Child #1 disclosed they picked up food "at front office, by the small little front gate, right outside the office. A person came and gave us the order at the small front gate."

LPAs reviewed disclosed information. The children were sent to the front of the elementary school without any supervision from adult staff and the facility. They were sent by Staff #1 to pick up ordered food from a stranger (delivery person) who is not associated with the facility. Based on the information above, facility is in violation of lack of supervision, and personal rights.

REPORT CONTINUES PAGE 1 of 2

NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Nolan Tcheng
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/03/2026
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 4
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: OPTIONS FOR LEARNING SCHOOL AGE BALDWIN
FACILITY NUMBER: 198019493
VISIT DATE: 02/03/2026
NARRATIVE
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LPA Tcheng informed Facility Representative, Yuliana Chacon that this report dated 02/03/2026 documents Two Type A citations, which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, and personal rights of children in care.

Also, LPA Tcheng informed the Facility Representative to provide a copy of this licensing report dated 02/03/2026, that documents any Type A citation, to parent/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), or other written statement, must be placed in the child's file for verification.

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

Exit interview conducted and report was reviewed with Facility Representative, Yuliana Chacon, at 4:25pm. Plan of corrections developed and Copy of Report provided.

END OF REPORT PAGE 2 of 2

NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Nolan Tcheng
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 02/03/2026 04:23 PM - It Cannot Be Edited


Created By: Nolan Tcheng On 02/03/2026 at 03:47 PM
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 FOR LEARNING SCHOOL AGE BALDWIN

FACILITY NUMBER: 198019493

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/04/2026
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision
(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.

This requirement is not met as evidenced by:
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Per Facility Representative, Staff #2 and Staff #4 will have a Corrective Action plan made for them stipulating how to report and prevent somethinglike this happening again. Establishing "see something, say something." Plan will also ask for frequent head counts of children, and children are
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Based on interview and record review, Licensee did not ensure that children were supervised, when Staff #1 sent Child #1 (C1) and Child #2 (C2) to the front to pick up delievered food for Staff #1. This posed an immediate risk to the health, safety, and personal rights of children in care.
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to only do activities for program only, not personal matters. This will be provided to Staff #2 and #4 as a training, with Staff #1 pending administrative review. Memo will be sent to all Supervisors to provide to their school age programs to ensure consistency throughout.
Type A
02/03/2026
Section Cited
CCR101223(a)(1)

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Personal Rights
(1) To be accorded dignity in his/her personal relationships with staff and other persons.


This requirement is not met as evidenced by:
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Per Facility Representative, Staff #2 and Staff #4 will have a Corrective Action plan made for them stipulating how to report and prevent somethinglike this happening again. Establishing "see something, say something." Plan will also ask for frequent head counts of children, and children are
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Based on interview and record review, Licensee did not ensure that children's personal rights were protected, as S1 sent C1 and C2 to the front of school to accept delievered food from a unknown adult. This posed an immediate risk to personal rights of children in care.
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to only do activities for program only, not personal matters. This will be provided to Staff #2 and #4 as a training, with Staff #1 pending administrative review. Memo will be sent to all Supervisors to provide to their school age programs to ensure consistency throughout.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Ana Chico
NAME OF LICENSING PROGRAM MANAGER:
Nolan Tcheng
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 02/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2026


LIC809 (FAS) - (06/04)
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