197417229-8-9-2022-30-CC-LJCS-CH5QXM-20220809123345

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417229
Report Date: 08/09/2022
Date Signed: 08/09/2022 12:33:49 PM

Document Has Been Signed on 08/09/2022 12:33 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	MOGEN DAVID SYNAGOGUE KEHILLAT,MOGENDAVID ECC		FACILITY NUMBER:	197417229
ADMINISTRATOR:	CECELIE WIZENFELD		FACILITY TYPE:	850
ADDRESS:	9717 W. PICO BLVD.		TELEPHONE:	(310) 556-5609
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90035
CAPACITY:	55	CENSUS: 0	DATE:	08/09/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Cecelie Wizenfeld		TIME COMPLETED:	01:00 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 8/9/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Administrator, Cecelie Wizenfeld, and toured the indoor and outdoor of the facility. LPA observed 0 children in care and 4 staff. Preschool is closed during the summer and will reopen in the Fall.

LPA observed 3 classrooms and 1 outdoor play area. Classroom 1 (Cubs) is for the 2 year olds. LPA observed 1 children's bathroom with 1 toilet and 1 sink. In classroom 2 (Ducks) for the 3 year olds, LPA observed a large space equipped with children's desks and another children's bathroom with 1 toilet and 1 sink. In classroom 3 (Pandas) for 4-5 year olds, LPA observed 2 children's bathrooms with 1 toilet and 1 sink in each. LPA observed functioning smoke and carbon monoxide detectors in each classroom. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. All materials and surfaces accessible to children are toxic free. All toilets and handwashing facilities are in safe and sanitary operating condition.

In the outdoor play area, which is located directly in front of the classrooms in a courtyard setting, LPA observed 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. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The outdoor play area includes a children's bathroom as well.

Kitchen is currently not in use. Administrator stated facility provides a morning and afternoon snack. Children bring their own lunch and eat inside the classrooms. Drinking water is available both indoors and outdoors. The facility is free of flies, insects and rodents.

LPA observed 3 2A10:BC fire extinguishers in the outdoor play area, classroom 2, and in the kitchen.

[CONTINUE ON PAGE 2]

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022

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 2

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: MOGEN DAVID SYNAGOGUE KEHILLAT,MOGENDAVID ECC	FACILITY NUMBER: 197417229
	VISIT DATE: 08/09/2022

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
26
27
28
29
30
31
32

PAGE 2

LPA reviewed a sample of staff files and observed files were complete. All staff are trained in CPR and Pediatric First Aid. 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 reviewed a sample of children’s files and observed files were complete.

Incidental Medical Services (IMS) are not currently being provided. Administrator has an IMS plan in place.

Administrator 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. 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.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

Exit interview conducted and report was reviewed with the Administrator, Cecelie Wizenfeld.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2