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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192006491
Report Date: 11/21/2024
Date Signed: 11/21/2024 12:42:31 PM

Document Has Been Signed on 11/21/2024 12:42 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:OR HACHAIM ACADEMYFACILITY NUMBER:
192006491
ADMINISTRATOR/
DIRECTOR:		CHULPAEV, LILIYAFACILITY TYPE:
850
ADDRESS:6017-6021 LAUREL CANYON BLVD.TELEPHONE:
(818) 505-1668
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY: 59TOTAL ENROLLED CHILDREN: 21CENSUS: 20DATE:
11/21/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:30 AM
MET WITH:Liliya Chulpaev, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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On 11/21/2024 at 7:30 AM, Silva Garibyan, Licensing Program Analyst (LPA), conducted an unannounced Required - 3 Year Inspection. LPA met with Liliya Chulpaev, Director and toured the facility indoors and outdoors. Days and hours of operation are Monday through Thursday from 8:00 AM to 4:00 PM and Fridays 8:00 AM to 1:00 PM. The facility consists of 2 buildings with a total of 5 classrooms. The North building (6021) has 3 classrooms and the South building (6017) consists of 2 classrooms. The facility is located on the same premises that Or Hachaim Academy Private School (grates 4-8, girls only) is located in. The private school is on the second and third floors of the North building. There is a unarmed security guard at the entrance of the school. The facility is currently using the classrooms (K1, K2, K3) in the North Building and the playground in the North Building. There are working telephones, first aid kits, and smoke/carbon monoxide detectors in the hall way. There are pull down fire alarms and fire extinguishers (serviced 09/17/2024) located in the hall way, by Director's office. Upon arriving at the center, LPA observed 20 children being supervised by 3 teachers. LPA observed 11 children in Room K2 (4-5 year olds) supervised by two teachers and 9 children in Room K3 (2 -3 year olds) supervised by one teacher. Facility is operating within capacity limitations. LPA verified that all adults present in the facility have obtained criminal record clearances and are associated to the facility. LPA reviewed the sign in and sign out sheet to verify the census. There are no bodies of water on the premises during the visit. Disaster drill log was available during today’s inspection, last disaster drill was conducted on September 12, 2024. Per Director, isolation area for sick children is in the office. There is no swimming pool or other bodies of water on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept in a locked storage area. Page 1
Betty BellTELEPHONE: (424) -301-3063
Silva GaribyanTELEPHONE: (424) 301-3062
DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: OR HACHAIM ACADEMY
FACILITY NUMBER: 192006491
VISIT DATE: 11/21/2024
NARRATIVE
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 Fixtures, furniture and equipment are adequate and well maintained. LPA observed the following postings by the office: License, LIC 613A, the PUB 393, Child Care Center Notification of Parents' Rights Poster, LIC 610 Emergency Disaster Plan with the telephone number of the local health department, information on child passenger restraint systems (PUB269). Furniture and equipment were inspected for age appropriateness and good repair. The classrooms were inspected to ensure that the floors have a surface that is safe and clean.

A walk through of the classrooms was conducted, classrooms were found to be clean and free from any potential hazards. Furniture was found to be in good repair and age appropriate.

There is adequate heating, lighting and ventilation. Drinking water is readily available in each classroom. Drinking water is available both indoors and outdoors via personal water bottles. There are first aid supplies in each classroom and in the office. .

Napping equipment and bedding was inspected for good condition, appropriate storage and cleanliness. LPA observed mats available for each child. Mats are being sanitized once a week. Bedding is stored separately. Napping children are properly supervised within ratios. Isolation area for sick students is located in the office. LPA observed adequate arrangements for isolation and care of ill children.



LPA inspected and observed a total of 2 clean bathrooms in the North Building. There are a total of two toilets, three urinals, and three sinks available for children's use. Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Water temperature was tested and is appropriate. Bathrooms were found to be clean. There is adequate lighting/ventilation in the bathroom areas.
Children are inspected for illnesses as they arrive. Medication and Discipline policies were discussed. Page 2
SUPERVISOR'S NAME: Betty BellTELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: OR HACHAIM ACADEMY
FACILITY NUMBER: 192006491
VISIT DATE: 11/21/2024
NARRATIVE
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The facility provides snacks only. Menus were observed. The food preparation area is by the door leading to the playground. Sharp utensils are stored upstairs, inaccessible to children. Opened snack items are properly stored in air tight containers in the cabinet by Room K3. Trash cans used for solid waste disposal contain tight fitting lids. LPA observed an appropriate amount of food and snacks. The chemicals are kept separate from the food.. The preschool maintains a list of children with allergies and a copy is also kept in the child's classroom.

Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Fencing around the perimeter of the play area is at least 4 feet high. Play area was inspected for hazards and inaccessibility to bodies of water. The facility is free of flies, insects and rodents.

LPA conducted a Children's Records Review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights on file. In all children's records reviewed were missing Physicians report. The children's roster was available and current. Staff Records were reviewed to ensure the following: Criminal record clearance or criminal record exemption, education credits required for Infant Care, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination, Mandated Reporter training. Director and staff did not have proof of a current CPR & First Aid training and Mandated Reporter Training.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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. Page 3

SUPERVISOR'S NAME: Betty BellTELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: OR HACHAIM ACADEMY
FACILITY NUMBER: 192006491
VISIT DATE: 11/21/2024
NARRATIVE
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 Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

LPA referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

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

Exit interview conducted and report was reviewed with the Director, Liliya Chulpaev
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SUPERVISOR'S NAME: Betty BellTELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/21/2024 12:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: OR HACHAIM ACADEMY
FACILITY NUMBER: 192006491

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA record review and interview, Licenee did not have the facility's water sources tested for lead at time of inspection. This poses a potential health, safety, and personal rights risk to children in care.
POC Due Date: 12/05/2024
Plan of Correction
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Director will schedule an appointment with a testing company today. Director will work with LPA to correct the testing and if needed exceedances. Director will send reports to LPA by scanned PDF format to email with required Licensing forms.
Section Cited
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in Director's and staff's mandated reporter training had expired in 2021, which poses/posed a potential health, safety or personal rights risk to persons in care which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/05/2024
Plan of Correction
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Director will ensure all staff have completed the mandated reporter training and provide proof of certificates to CCL by the POC due date. LPA provided the trainining website address. www.mandatedreporterca.com
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Betty BellTELEPHONE: (424) -301-3063
Silva GaribyanTELEPHONE: (424) 301-3062

DATE: 11/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2024

LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 11/21/2024 12:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: OR HACHAIM ACADEMY
FACILITY NUMBER: 192006491

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. Director and staff did not have proof of a current CPR & First Aid training which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/05/2024
Plan of Correction
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The Director and staff will obtain a current Pediatric First Aid and CPR certificate and provide a copy to CCL by the POC due date.
Section Cited
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on Record Review, the licensee did not comply with the section cited above in all 8 children's records reviewed were missing Phisicain's Report. All children are enrolled for over 30 days which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/05/2024
Plan of Correction
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Per Director a copy of physician's report will be sent to LPA via email by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Betty BellTELEPHONE: (424) -301-3063
Silva GaribyanTELEPHONE: (424) 301-3062

DATE: 11/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2024

LIC809 (FAS) - (06/04)
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