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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415614
Report Date: 09/28/2023
Date Signed: 09/28/2023 03:40:24 PM


Document Has Been Signed on 09/28/2023 03:40 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:GAN SHELANU PRESCHOOL CENTERFACILITY NUMBER:
197415614
ADMINISTRATOR:MEIR, ILANITFACILITY TYPE:
850
ADDRESS:13625 BURBANK BLVD.TELEPHONE:
(818) 266-4953
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91401
CAPACITY:40CENSUS: 38DATE:
09/28/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Director ILANIT, MEIRTIME COMPLETED:
03:40 PM
NARRATIVE
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On 9/28/2023, Licensing Program Analyst's (LPA) Suzette Ornelas conducted an unannounced case management inspection for the purpose of deficiencies observed during a complaint investigation for control #58-CC-20230718143627. Upon arrival LPA was greeted by Director ILANIT, MEIR and observed 38 children and 6 adults.

LPA Ornelas investigated complaint control # 58-CC-20230718143627. According to the Reporting Party, a child under 2 years old was enrolled at the Child Care Center (CCC).

Based on file review of the children's roster, it was confirmed that a child under 2 was enrolled at the CCC.

During todays visit, LPA explained to the Director the Limitations of the license are as follows: LICENSEE SERVES 40 PRE-SCHOOL CHILDREN AGES 2 TO ENTRY INTO FIRST GRADE. Director understands and will comply.

The following Type B deficiency is being cited in accordance to Title 22 of the California Code of Regulations:
101161 - Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
Please refer to 809-D for cited deficiency.

A copy of this report, notice of site visit, and appeal rights were provided. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted.
SUPERVISOR'S NAME: Betty BellTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:
DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/28/2023
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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Document Has Been Signed on 09/28/2023 03:40 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: GAN SHELANU PRESCHOOL CENTER
FACILITY NUMBER: 197415614

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/12/2023
Section Cited
CCR
101161(a)

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101161 Limitations on Capacity
(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
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Director agrees to understanding the terms of the license and will create a decleration and sign it and submit to LPA.
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This requirement is not met as evidence by: child under 2 years old was enrolled at the Child Care Center (CCC).
This is a type B deficiency as it poses a potential risk to the health and safety of children in care.
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During todays visit, Director created and signed a Decleration and cleared the deficiency

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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: Betty BellTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:
DATE: 09/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/28/2023
LIC809 (FAS) - (06/04)
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