191203310-2-20-2020-30-CC-PFLS-BMZ22Y-20200323170131

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191203310
Report Date: 02/20/2020
Date Signed: 02/20/2020 03:54:24 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

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

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/13/2020 and conducted by Evaluator Denise Miranda

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20200213180928

FACILITY NAME:	TEMPLE JUDEA NURSERY SCHOOL		FACILITY NUMBER:	191203310
ADMINISTRATOR:	WHITMAN, LISA SUSAN		FACILITY TYPE:	850
ADDRESS:	5429 LINDLEY AVENUE		TELEPHONE:	(818) 342-3840
CITY:	TARZANA	STATE: CA	ZIP CODE:	91356
CAPACITY:	175	CENSUS: 89	DATE:	02/20/2020
		UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Lisa Whitman, Director		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility staff did not follow the terms and conditions of waiver.

INVESTIGATION FINDINGS:

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On 02/20/2020 at 12:35pm, Licensing Program Analyst (LPA) Denise Miranda arrived at Temple Judea School located at 5429 Lindley Avenue, Tarzana, CA 91356 for the purpose of investigating the above-mentioned allegation. LPA met with Lisa Whitman, Director, and discussed the purpose of the visit. There were 89 preschool in care being supervised by 19 teachers, 3 teachers assistant and Director.
Based upon the evidence obtained throughout the course of investigation which include interview with relevant parties, and records review, and observation of facility operation, it was concluded that there is a preponderance of the evidence to support that the alleged violation occurred.
On 09/20/2017 Facility granted the waiver to allow an armed guard on campus. The facility did not follow the waiver condition: The individual carrying the firearm must undergo and clear a background check by the Community Care Licensing Division prior to employment or stationing at the facility.
LPA observed individual#2 has not been associated to facility personnel. Therefore, the allegation is deemed Substantiated. Substantiated - A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 30-CC-20200213180928

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 JUDEA NURSERY SCHOOL	FACILITY NUMBER: 191203310
	VISIT DATE: 02/20/2020

NARRATIVE

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Upon receipt of the Type A Violation(s), licensee shall post the report for 30 days in addition to the Notice of Site Visit, provide copies of the licensing report to parents/guardians of children in care at the facility and obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file by the close of business the following day or the next day child returns to the facility. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.

The facility was made aware that a licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.

The following deficiency was observed in accordance to Title 22 of the California Code of Regulations and Health and Safety Codes during this inspection. Please refer to 809-D for documentation of deficiencies.
LPA provided the LIC9224 Acknowledgement of Licensing Reports to Director.

A copy of this report, Acknowledgement of Licensing Reports (LIC 9224), appeal rights were provided to the Director and an exit interview was conducted.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

LIC9099 (FAS) - (06/04)

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Control Number 30-CC-20200213180928

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 JUDEA NURSERY SCHOOL	FACILITY NUMBER: 191203310
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/20/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/20/2020 Section Cited CCR 101170(d)(1)	1 2 3 4 5 6 7	101170 Criminal Record Clearance (i) Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations	1 2 3 4 5 6 7	Center Director was informed that individual #2 is not allowed to access the facility until obtain a criminal record clearances or exemptions. Director provided a letter that per title 22 facility will follow the waiver conditions.
	8 9 10 11 12 13 14	Based on LPA, observation and records reviewed on 2/120/2020, this requirement was not met. Individual# 2 has not been associated to the facility. This is a Type A citation and poses an immediate risk to children in care.	8 9 10 11 12 13 14	Director shall provide a parents/guardians a copy of the report dated 2/20/2020 with copy of LIC9224 Acknowledgement of Receipt of LIcensing Reports and mantain a copy of LIC9224 form in children's file.
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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: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

LIC9099 (FAS) - (06/04)

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