197494327-4-29-2021-30-CC-DLOE-C2JRKF-20210429130527

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494327
Report Date: 04/21/2021
Date Signed: 04/29/2021 01:06:06 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:	EMUNAH HEBREW ACADEMY		FACILITY NUMBER:	197494327
ADMINISTRATOR:	MOJGAN (SARA) YASHARPOUR		FACILITY TYPE:	850
ADDRESS:	1518 S ROBERTSON BLVD		TELEPHONE:	(310) 777-7888
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90035
CAPACITY:	100	CENSUS: 0	DATE:	04/21/2021
TYPE OF VISIT:	Case Management - COVID-19	ANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Sarah Yasharpour, Director		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 4/21/2021 at 11:45 am, Licensing Program Analyst (LPA), Deborah Lowe participated in a visit conducted by the Public Health Department at facility. Helen Obih, RN, BSN, PHN, MPA Public Health Nurse with Los Angeles County met with Facility Director Sarah Yasharpour in person at facility. LPA Lowe and Dr. Margalit Kochav participated via Microsoft TEAMS. The purpose of the Case Management inspection was to observe and follow up on a recent outbreak - COVID-19 that was reported to Regional Office on 4/20/2021 by the public health department which 3 staff and 2 children tested positive for the COVID-19 virus. Rooms effected by outbreak were rooms 101, 102, and room 103. Facility chose to close whole facility on 4/19/2021 and no children were present during visit. Health Department advised facility they can open the unaffected classrooms. Director lead a tour of the first floor (classrooms 101, 102, 103, and the children's bathroom), second floor outside area, and the fourth floor teacher areas. In each room the health department provided feedback with recommendations. Recommendations; * All children age 2 and over must wear face covering (director stated the children ages 2 years- 3 years-old have not been wearing mask). * Room 102 and 103 add additional tables to assist in social distancing - 2 children per table * Have a clean bin and dirty bin to sanitation of toys * Bathroom - put sign on door capacity of 1 adult 1 child per Heath Department. * Cleaning chemicals need to be inaccessible to children in a locked cabinet (1 Lysol bottle on paper towel dispenser, 1 Lysol spray bottle and 1 sanitizer cleaning bottle on counter of hand washing sink in children's bathroom). Page 1 of 2

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (434) 301-3069
LICENSING EVALUATOR NAME: Deborah Lowe	TELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2021

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: EMUNAH HEBREW ACADEMY	FACILITY NUMBER: 197494327
	VISIT DATE: 04/21/2021

NARRATIVE

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Recommendations Continued:
* Children's bathroom tape off 1 sink for social distancing
* Staff Bathroom - add occupancy sign on door 2 adults
* Stagger drop off times - Director stated they have staggered drop off and pick up for each class.
* Playground on 2nd floor - lunch area 2 children per table sitting diagonally across from each other.
Fourth Floor staff areas:
* staff lounge add a table - 2 staff per table,
* open windows for ventilation
* Staff refrigerator clean after each use (place sign on door clean after each use)
* Remove infant/toddler seat with tray from staff lounge
* Staff lounge tables place tape to show available seat for social distancing
* Staff lounge provide hand sanitizer
* Hallway water dispenser - add sign to clean after each use.
* Water fountain - tape off no use
* Screening questions - Health Department stated they will email suggested screening questions for children and adults.
* Add signs in hallways - face coverings and social distancing

During visit LPA Lowe asked Director if an unusual incident report had been completed, Director stated, "no not yet". LPA Lowe advised reporting regulations are to call report into Regional Office within 24 hours and submit written report within 7 days.

Exit interview conducted over the phone with Director Sara Yasharpour on 4/21/2021. During exit interview LPA Lowe scheduled a RAST Tele Visit for Monday 4/26/2021 at 10:00 am.

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SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (434) 301-3069
LICENSING EVALUATOR NAME: Deborah Lowe	TELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2021

LIC809 (FAS) - (06/04)

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