191802639-3-4-2020-30-CC-DMIA-BME35H-20200304165647

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191802639
Report Date: 03/04/2020
Date Signed: 03/04/2020 04:56:55 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 ACADEMY		FACILITY NUMBER:	191802639
ADMINISTRATOR:	MARCIANO-PEIKON, CLAIRE		FACILITY TYPE:	850
ADDRESS:	310 NORTH HUNTLEY DRIVE		TELEPHONE:	(310) 659-2456
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90048
CAPACITY:	125	CENSUS: 105	DATE:	03/04/2020
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Claire Marciano Peikon		TIME COMPLETED:	04:45 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 03/4/2020 at 2:00pm, Licensing Program Analyst (LPAs) Denise Miranda and Laticia Thompson conducted a Plan of Correction visit at the facility. LPA met with Claire Marciano- Peikon, Director, Merav Cohen Director of Administration and discussed the purpose of the visit. A walk through of the classroom space was conducted and LPAs observed 103 preschools in care being supervised by 8 teachers, 12 teachers assistant and Director. Upon arrival by the gate located at Beverly Place. LPAs observed the security was armed with firearm at his hip. The facility does not have a waiver for an armed guard. Parents and children have access to this gate. Advisory was provided to Director. On 02/24/2020, the facility was cited in violation of Title 22 CCR Title 22, 101161 - Limitations on Capacity and Ambulatory Status. And 101229.1 Sign in and Sign out. On 2/24/2029, the facility was cited in violation of Title 22 CCR Title 22 10129.1 - Sign in and Sign out. LPAs reviewed and obtained copies of the sign in and sign out for the following days: 02/26/2020 02/27/2020, 02/28/202, 03/02/2020 03/03/2020 and 03/04/2020. Deficiency is not cleared today, 03/04/2020. During this visit, LPAs reviewed chidlren’s file and observed copies of LIC9224 Acknowledgement of Receipt of Licensing Reports. Licensee is operating a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. Deficiency cleared today, 03/04/2020.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

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: MAIMONIDES ACADEMY	FACILITY NUMBER: 191802639
	VISIT DATE: 03/04/2020

NARRATIVE

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LPAs provided a copy of the following documents:
Title 22 101175 Waivers and Exception for Program Flexibility
Title 22: 101238 Building and Grounds was provided to Director of administration and Director.
Title 22: 101229.1 Sign in and Sign out
Forms:
LIC311A Records to be maintain at the facility child center
LIC503 Health Screen Report.
LIC 508 Criminal Record Statement

Director and Director of Administration were made aware that once licensed, it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Applicant was advised on how to access quarterly reports, forms, and regulations for Child Care and encouraged to read them online at www.ccld.ca.gov.

LPAs’ has conducted a meeting with Director, Director of Administration, along with the Nettie Lerner Education Consultation regarding Title 22 and Health and Safety Code.

The facility was not found to be in compliance per Title 22 regulations and Health and Safety code. Type B deficiency will re-cited today 3/4/2020.

An exit interview was conducted and a copy of this report, letter of deficiency citations cleared, along with the Notice of Site Visit were provided to Claire Marciano Peikon, Director.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

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: MAIMONIDES ACADEMY	FACILITY NUMBER: 191802639
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/04/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/05/2020 Section Cited	1 2 3 4 5 6 7	(1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. (b)The person who brings the child to, and removes the child from, the center shall sign the child in/out. (c)A person who removes the child from the center during the day, and returns the child to the center the same day, shall
	8 9 10 11 12 13 14	sign the child in/out.(d) The sign-in and sign-out sheets with the signatures required....shall be kept for one month and shall be available at the center for review by the Dept.This requirement is not met as evidenced by: Facility was not able to provide a complete of sign in and out. This is poses potential risk.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

LIC809 (FAS) - (06/04)

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