191600675-12-10-2021-30-CC-JCHR-C9KRN5-20211210120946

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191600675
Report Date: 12/10/2021
Date Signed: 12/10/2021 12:12:29 PM

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 BETH AM NURSERY SCHOOL		FACILITY NUMBER:	191600675
ADMINISTRATOR:	BASS, ANGIE		FACILITY TYPE:	850
ADDRESS:	1039 S LA CIENEGA		TELEPHONE:	(310) 652-7353
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90035
CAPACITY:	134	CENSUS: 83	DATE:	12/10/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	09:26 AM
MET WITH:	Angie Bass -director		TIME COMPLETED:	12:27 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 12/10/2021 at 9:30 P.M. Licensing Program Analyst (LPA) Jillinda Chandler and Licensing Program Manager (LPM) Peter Flores made a subsequent visit, that was conducted on 10/18/2021, LPA met with Angie Bass, Preschool Director, for the purpose of conducting a 1- year annual required inspection. The preschool is located on the Temple Beth AM synagogue campus. On today Fridays the program has early dismissal at 2 o’clock. LPA toured the facility indoors and outdoors for health and safety compliance per Title 22. Upon arrival LPA observed the following of the classrooms: 1. Room T1 (2-3-year olds) a ration of 3 staff to 12 children 2. Room 104 with a ratio of 3 teachers to 15 children 3. Room 103 a ratio of 3 staff to 13 children 4. Room 105 a ratio of 3 staff to 15 children 5. Room T2 a ratio of 3 staff to 13 children, 6. Room 101 a ratio of 2 staff to 15 children and two parent volunteers 7. Room 109 a ratio of 4 staff to 12 children 8. Room 107 was closed during todays visit. Facility is operating within capacity and ratio limitations. LPA observed classrooms to have age appropriate materials and equipment. Furniture in each classroom is found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation, classrooms were at a comfortable temperature. Drinking water is readily available in each classroom using filtered water and personal water containers.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2021

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 BETH AM NURSERY SCHOOL	FACILITY NUMBER: 191600675
	VISIT DATE: 12/10/2021

NARRATIVE

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Napping equipment and bedding were inspected for good condition, appropriate storage and cleanliness. Isolation area for sick students is in the director’s or nurse office on a cot. LPA inspected each classroom and found them to be clean and free from any potential hazards.
Fire extinguishers were observed, smoke and carbon monoxide detectors were present, first aid kits with the required supplies; scissors, tweezers, ointment, bandages and thermometer

Age appropriate toilets and sinks were in operable condition. Bathrooms contained the necessary essential for sanitation; toilet paper, soap and paper towels. LPA observed storage in the restrooms, director was informed that these items must to be removed, items were removed during the inspection.

The center is not serving meals at this time due the Covid pandemic. There is a full prepping area in between the T1 and T2 classroom, LPA did not observe and foods or conditions that could pose contamination or spoilage in this area Cleaning supplies are out of reach to the children and is stored separately in a locked room outside of classrooms.

Inspection of the outdoor play area was conducted. Play equipment was securely anchored with adequate resilient cushioning material underneath and around the perimeter, classroom T1 and T2 have separate yard. Drinking water is readily available on the outdoor play space using filtered water and personal containers. There was adequate shade and resting areas for the children in care. The outdoors areas were fully enclosed, no hazardous conditions were observed.

Staff and children files were reviewed and found to be good condition.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2021

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 BETH AM NURSERY SCHOOL	FACILITY NUMBER: 191600675
	VISIT DATE: 12/10/2021

NARRATIVE

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Criminal Record Statement

Child Care Centers

Licensee [or facility representative] was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Safe Sleep

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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

An exit interview was conducted and a copy of this report was reviewed with the facility Director -Angie Bass.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2021

LIC809 (FAS) - (06/04)

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