198005474-7-16-2019-33-CC-JDOY-BE5V9T-20190716161453

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198005474
Report Date: 07/16/2019
Date Signed: 07/16/2019 04:15:00 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	YAVNEH HEBREW ACADEMY		FACILITY NUMBER:	198005474
ADMINISTRATOR:	CAROLE PERL		FACILITY TYPE:	850
ADDRESS:	5353 W. THIRD STREET		TELEPHONE:	(323) 931-5808
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90020
CAPACITY:	120	CENSUS: 0	DATE:	07/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Eileen Wasserman		TIME COMPLETED:	04:30 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	Licensing Program Analyst (LPA) Justin Dorsey conducted an unannounced Annual Random Inspection. LPA met with Eileen Wasserman, Principal of General Studies, who guided LPA on a tour of the facility. This program consists of 9 classrooms. The 9 classrooms are part of a bigger facility that serves children up to the 8th grade. Per principal the preschool children do not interact with the older children. Upon arrival LPA was told that the preschool children are on summer break and will return 08/26/19. At the time of the inspection the preschool classrooms were being used for a summer camp. The following classrooms were inspected: Room 123, Room 124, Room 125, Room 126, Room 129, Room 130, Room 131, Room 132, and Room 133. Students have access to the class rooms, restrooms (located in the classrooms), library and outdoor play area. Students of the program are signed in at their assigned classroom by their parents. Children have the option of being transported by the facility or their parents. Furniture and equipment are safe and in good repair. There is telephone service, heating, lighting and ventilation available at the facility. The nurses office and the staff restroom has been designated for the use of ill children. Drinking water is available indoors and outdoors. Restrooms used were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. The preschool children are not assigned a kitchen (there is a kitchen on the campus for the older children). The facility provides A.M. and P.M. snack, lunch is provided by parents. Containers used to discard food have tight fitting lid at this time. Poisons are locked in a cabinet. Cleaning compounds and sharp items are inaccessible.

SUPERVISOR'S NAME: Adriana Hernandez	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: YAVNEH HEBREW ACADEMY	FACILITY NUMBER: 198005474
	VISIT DATE: 07/16/2019

NARRATIVE

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The outdoor area includes play equipment with padding and shade sails for shade. The play area is fully fenced. A review of records was conducted for staff and participants. LPA observed that staff have current First Aid and CPR (Expires 8/2019). First Aid supplies are available.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
REMINDER: Failure to obtain a criminal record background check clearance prior to initial presence will result in an immediate $100.00 dollar or more.

LPA advised how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. Also, discussed new requirements for providers, including mandate reporting training for staff which can be found at: http:/www.mandatedreporterca.com/training /training.htm. This is a new regulatory requirement beginning January 2018. According to staff, training has been completed through Community Care Licensing. Please review all elements outlined in AB 1207- Mandated Reporting Training.

No deficiencies were cited in accordance with California Code of Regulations Title 22. 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 reprehensive. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Principal of General Studies Eileen Wasserman, Appeal Rights were given.

SUPERVISOR'S NAME: Adriana Hernandez	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019

LIC809 (FAS) - (06/04)

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