191671596-6-21-2023-30-CC-JLAO-CSZK9S-20230621074248

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191671596
Report Date: 06/20/2023
Date Signed: 06/21/2023 07:43:09 AM

Document Has Been Signed on 06/21/2023 07:43 AM - 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	BETH SHOLOM TEMPLE NURSERY SCHOOL		FACILITY NUMBER:	191671596
ADMINISTRATOR:	RANDEE NORWOOD		FACILITY TYPE:	850
ADDRESS:	1827 CALIFORNIA AVENUE		TELEPHONE:	(310) 829-2517
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90403
CAPACITY:	60	CENSUS: 34	DATE:	06/20/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Cynthia Barzilai and Robin Masnicoff		TIME COMPLETED:	12:30 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 6/20/2023 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced Annual Required Inspection at Beth Sholom Temple Nursery School located at 1827 California Avenue, Santa Monica, CA 90403. LPA was greeted by Cynthia Barzilai, Executive Director. Director Robin Masnicoff arrived at facility at approximately 10:10 a.m. LPA toured the facility both indoors and outdoors and observed the following: 34 children and 7 staff members providing care and supervision. Facility has 6 licensed classrooms but currently only using 4 classrooms. Facility operates Monday through Friday 8:00 a.m .to 5:30 p.m. Licensee prefers to serve children ages 2 through 5 years old with a capacity of 50 children. Facility operates a toddler component serving 10 toddlers ages 18 months to 30 months old. Facility has a total capacity of 60 children: 50 preschool children and 10 toddler age children. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Currently facility does not have any child that needs medications. LPA observed an allergy list in classrooms identifying children with allergies. Teachers do the day to day cleaning in the classroom but facility has designated custodial staff that cleans and disinfects after hours. Disinfectants, cleaning solutions and other hazardous items are stored in the custodial closet- locked upstairs away from the children in care. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023

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: BETH SHOLOM TEMPLE NURSERY SCHOOL	FACILITY NUMBER: 191671596
	VISIT DATE: 06/20/2023

NARRATIVE

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All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. Facility provides snacks and parents are responsible for providing meals. Facility has a buy in option where parents are able to purchase meals from a third party vendor; lunch bunch. Menu was observed posted outside each classroom. Parent receive daily reports from teachers with snack information.

All toilets and hand washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. Solid waste storage containers have tight-fitting covers and are in good repair. Toddler classroom was observed with changing tables and napping cots.

LPA reviewed sleeping log for all children enrolled in program. Currently 3 children were observed in the toddler classroom during today’s inspection.

Drinking water is available both indoors and outdoors, water fountain as well as water pitcher/cups. Some children bring in their own refillable water container and school will provide water when children forget to bring in their water or run out of water.

Areas around high climbing equipment have cushioning material to absorb falls. LPA observed a sand area outside that is racked by staff and covered in the evenings.

The facility is free of flies, insects and rodents. Facility contracts with a Pest control vendor to ensure that facility stays pest free. LPA observed working fire extinguisher in the classrooms and centralized smoke detector system.

Prior to working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption.
Capacity and limitations as specified on the license are being maintained.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023

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: BETH SHOLOM TEMPLE NURSERY SCHOOL	FACILITY NUMBER: 191671596
	VISIT DATE: 06/20/2023

NARRATIVE

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At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. Director’s CPR and First Aid certification was taken on 8/25/2021. LPA reviewed 6 staff files and observed 1 out of 6 incomplete: missing mandated reporter training. LPA issued a Technical Violation. LPA reviewed a sample of children’s files and observed 10 files were complete. LPA provided updated LIC 311A to facility director and LIC 125 to use as a reference when auditing files.

The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. LPA observed sign in/out sheets in each classroom.

All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care and 2 teachers with no more than 6 children in care in the toddler classroom. Toddler classroom currently has 1 teacher to 3 children for the summer.

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/inspection-process.

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.

LPA and director discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with Robin Masnicoff, facility director.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023

LIC809 (FAS) - (06/04)

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