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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600443
Report Date: 03/29/2022
Date Signed: 03/29/2022 01:17:31 PM


Document Has Been Signed on 03/29/2022 01:17 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:BARBARA AND RAY ALPERT JEWISH COMMUNITY CENTERFACILITY NUMBER:
191600443
ADMINISTRATOR:KEILES, LINDAFACILITY TYPE:
850
ADDRESS:3801 EAST WILLOW AVENUETELEPHONE:
(562) 426-7601
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:210CENSUS: 55DATE:
03/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:19 AM
MET WITH:Emily Gould/Sandra TIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Required - 1 Year Inspection. LPA initially met with Director Emily Gould who assisted analyst with a tour of the facility. LPA later met with Human Resources Manager Sandra Oliva. This is a Preschool Program serving children two (2) through entry into first grade. The facility is housed on the site of the Barbara and Ray Alpert Jewish Community Center and consist of 13 class rooms (10 are in use currently). The current hours of operation are: Monday through Friday 8:00am to 4:00pm. The preschool program (indoors and outdoors) is physically separate from other programs and activities on the grounds. There is no commingling with other programs. Note: The Administrator listed is not associated with the facility and the typo is in the process of being.

All areas identified on the Facility Sketch were inspected. From 8:45 am to 9:10am. LPA observed the following: Room 1 (2 staff and 9 children), Room 3 (3 staff and 4 children), Room 5 (2 staff and 4 children), Room 7 (Zero staff and children), Room 8 (Zero staff and children), Room 9 (2 staff and 1 child), Room 10 (3 staff 10 children), Room 11 (2 staff and 8 children), Room 12 (1 staff and six children), Room 13 (2 Staff and 13 children). LPA inspected: all classrooms, outdoor areas, furniture, and equipment for age appropriateness and good repair. LPA observed telephone service, heating, lighting and ventilation to be satisfactory. Children have adequate cubby storage for their belongings. Napping cots are stored with separation for each cot. LPA observed drinking water with drinking cups readily available in the classrooms. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, safety and sanitation. All available toilets and sinks are in operable condition.



All indoor classrooms have surfaces that appear to be clean and safe. All materials and surfaces accessible to children are toxic free. Storage areas for poisons are locked in containers inaccessible to children. The office is used as an isolation area to care for ill children. Parents are contacted immediately if children are ill. Director Gould indicated there are no weapons at the facility and LPA did not observe any. At approximately 9:10 am LPA observed outdoor play equipment to be in good condition, free of sharp, loose or pointed parts.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BARBARA AND RAY ALPERT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 191600443
VISIT DATE: 03/29/2022
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The outdoor activity space surface is maintained in a safe condition and appears to be free of hazards. Areas around and/or under climbing equipment have rubber cushioning material to absorb a fall. All materials and surfaces accessible to children are toxic free.

LPA reviewed snack menus that are visible to parents and representatives at least one week in advance. The facility uses an outside vendor for lunch. Parents provide all snacks and the facility always has snacks available as needed stored in each classroom. LPA observed food and snack preparation areas to appear to be satisfactory for the type of snacks provided. LPA observed an adequate amount of food available for children in care and snacks and drinks to be within expiration dates. LPA also observed drinking water available indoors and outdoors and trash receptacles that have tight fitting covers.

Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are locked and/or inaccessible. The facility has one or more functioning smoke detectors and carbon monoxide detectors that meet statutory requirements. The facility's last recorded disaster drill was in October 18, 2021.

LPA observed digital sign in and sign out to ensure children are being properly signed in and signed out. LPA conducted a Children's Records Review to ensure children have Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights etc. on file.

At approximately 11:30am Staff Records were reviewed to ensure the following: Appropriate documentation of education credits, Criminal Record Clearance documents available, Verification of current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination available. LPA will need to schedule a later visit to review staff records due to time restraints. LPA observed at least one staff member to have current CPR (Expiration December 2022. .

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BARBARA AND RAY ALPERT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 191600443
VISIT DATE: 03/29/2022
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Note: First Aid supplies are in each classroom and staff indicated that medication is only administered to children once parent's provide a doctor's note. All medications are stored in an inaccessible room (A Refrigerator is available if necessary). Fire extinguishers (type 2A-10BC) must be serviced at least annually (LPA observed last date of Service 3/8/2022). Any construction or remodeling should be reported to the Department before it occurs.

Mandatory forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. Director was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care. LPA advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.



LPA advised Sandra Oliva that all adults 18 years of age and older providing Care & Supervision and having a continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. LPA informed Director to log onto web site www.ccld.ca.gov to access forms, regulations and quarterly updates. Records for all children and staff must be maintained for three (3) years after separation from the facility. Report Unusual Incidents and/or injuries to the parent/guardian immediately and to Child Care Licensing within 24 hours and/or the next business day. Visit www.shotsforschool.org for immunization information. All care for children require supervision at all times. If away from the facility, staff must be with children at all times (especially when outdoors). There were no violations of Title 22 requirements at this time.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/tion-process.

The Notice of Site Visit (LIC 9213must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00 Exit interview was conducted with Human Resources Manager Sandra Oliva and a copy of Appeal Rights (LIC 9058) was discussed and provided

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022
LIC809 (FAS) - (06/04)
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