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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191802639
Report Date: 02/24/2020
Date Signed: 02/24/2020 02:56:18 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:MAIMONIDES ACADEMYFACILITY NUMBER:
191802639
ADMINISTRATOR:MARCIANO-PEIKON, CLAIREFACILITY TYPE:
850
ADDRESS:310 NORTH HUNTLEY DRIVETELEPHONE:
(310) 659-2456
CITY:LOS ANGELESSTATE: CAZIP CODE:
90048
CAPACITY:125CENSUS: 132DATE:
02/24/2020
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Merav Cohen, Director of Administration and Claire Marciano- Peikon, Director TIME COMPLETED:
03:00 PM
NARRATIVE
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On 02/24/2020 at 10:50am, Licensing Program Analyst (LPA) Denise Miranda conducted an annual random continuation inspection. LPA met with Merav Cohen, Director of Administration and Clarie Marciano- Peikion, Director and discussed the purpose of the visit.
A walk through of the classroom space was conducted, classroom space was found to be clean and free from any potential hazards. Furniture was found to be in good repair and age appropriate.
There were 132 children and 18 Teachers and 5 teacher assistants during this inspection. LPA verified that all adults present in the facility have obtained criminal record clearances and are associated to the facility.

At 11:20am LPA reviewed Children’s and Staff’s file.

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.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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: MAIMONIDES ACADEMY
FACILITY NUMBER: 191802639
VISIT DATE: 02/24/2020
NARRATIVE
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The licensee was advised how to access forms and Regulations for Child Care Center online at www.ccld.ca.gov. Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov.

The following deficiencies were 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.




The facility was not found to be in compliance per Title 22 regulations and Health and Safety code.
Type A and B deficiencies will cited today 2/24/2020.

LPA provided a copy of Title22: #101161 and #101229.1 Sign in and Sign out and LPA provided a copy of the form LIC9224 Acknowledgement of Licensing Reports to Director of Administration and 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 FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: MAIMONIDES ACADEMY
FACILITY NUMBER: 191802639
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/24/2020
Section Cited

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(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement is not met as evidenced by: The facility was found to be over the license capacity of 125 children
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as approved by the State Licensing Department in certain dates.
LPA observed 132 children in care.
This is a Type A deficiency which poses an immediate Health and Safety risk to children in care.
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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 FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: MAIMONIDES ACADEMY
FACILITY NUMBER: 191802639
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/25/2020
Section Cited

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Sign in and out : (1)The person who signs the child in/out shall use his/her full legal signature child to the center the same day, shall sign the child in/out shall record the shall sign the child in/out. (c)A person who removes the child from the center during the day, and returns the . (d)The sign-in and sign-out sheets with the signatures
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 required by this section and by Section ofday.(b) The person who brings the child to, and removes the child from, the center 101226.1 shall be kept for one month and shall be available at the center for review by the Department. This requirement is not met as evidenced by. Facility was not able to provide copy of sign in and out.
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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 FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4