191202136-11-25-2020-30-CC-JCHR-BVPMXK-20201125090004

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191202136
Report Date: 09/18/2020
Date Signed: 11/25/2020 09:00:12 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	TEMPLE RAMAT ZION NURSERY SCHOOL		FACILITY NUMBER:	191202136
ADMINISTRATOR:	PASTERNAK, ADRIANNE		FACILITY TYPE:	850
ADDRESS:	17655 DEVONSHIRE ST		TELEPHONE:	(818) 360-1881
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91325
CAPACITY:	60	CENSUS: 0	DATE:	09/18/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Luanna Moon-Lead Teacher		TIME COMPLETED:	04:11 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 9/18/2020 Licensing Program Analyst (LPA) made a case management-licensee initiated, for the purpose of adding a toddler option to the preschool and decreasing the capacity from 161 to 60 (48 preschoolers and 12 toddlers). LPA met with lead teacher Luanna Moon, it was disclosed on 9/2/2020 that director Pasternack had resigned. The school is currently closed due Covid-19. Ms. Mood lead LPA on a tour of the preschool. LPA observed 9 currently licensed classrooms, the classrooms were not set up for operations since the school has been closed, LPA explained to Ms. Moon before class can resume a return visit or tele-visit needs to be conducted. The center was granted a fire clearance on 9/18/2020 for 60 children, by inspector Michael Judkins of the Whittier fire department. LPA observed age appropriate furniture, toys and equipment. Cubbies for children's belongings Central Heating and Cooling unit LPA measured classroom number 7 intended for use by the toddlers, the room is 1/3 of 3 connecting classrooms rooms 7,8 and 9. A ceiling to floor partition separate room 8 and 9 will be designated for the pre-k. The measurements for room #7 were: 480.40 divided by 35 SQ. FT. per child = 13 toddlers The center has 4 sinks times 15 children per sink = 60 children; 5 toilets times 15 children per toilet = 75 LPA explained to Ms. Moon that the rest room needed a changing table within arms reach of a sink. The current changing table doesn't meet regulation (see Title 22 section 101439 (h)(1)(2)(3)(4)(5) ). LPA Chandler also measured the play yard located on the right side of classroom # 7,8, and 9 near the alley way. The play yard is fully gated and separate from the all other the private school and pre-school program. Age appropriate, non-stationary toys and equipment were observed. Ms. Moon was advised to barricade the a small section of the yard located at the north-east side of the play yard in an effort ensure proper supervision.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2020

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: TEMPLE RAMAT ZION NURSERY SCHOOL	FACILITY NUMBER: 191202136
	VISIT DATE: 09/18/2020

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Measurements for the out door play area were:
277.39 divided by 75 SQ. FT = 36.99 tddlers

Based on the requested capacity the recommended capacity shall be 12 toddlers

This report was recorded on 9/29/2020 due to covid-19, a copy of the report will be mailed to the applicant for review and signature. Once the report is printed and signed, the applicant shall mail the report to the local regional office. The read receipt shall serve as confirmation of receipt

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2020

LIC809 (FAS) - (06/04)

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