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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005474
Report Date: 03/11/2025
Date Signed: 03/11/2025 05:05:36 PM

Document Has Been Signed on 03/11/2025 05:05 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:YAVNEH HEBREW ACADEMYFACILITY NUMBER:
198005474
ADMINISTRATOR/
DIRECTOR:		SARA SHELTONFACILITY TYPE:
850
ADDRESS:5353 W. THIRD STREETTELEPHONE:
(323) 931-5808
CITY:LOS ANGELESSTATE: CAZIP CODE:
90020
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 96DATE:
03/11/2025
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Nachum Joel, AdministratorTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
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On Tuesday March 11, 2025 Licensing Program Analyst (LPAs) Joanne Solorio Campos and Staicy conducted an unannounced Case Management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. LPAs met with facility Administrator Nachum Joel during the visit. Also present in the facility were 98 children present. Facility was within ratio & capacity. Director is currently out on maternity leave and assistant director Naomi Ives is present.

Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility Director during the inspection. Per AB 2370, all CCCs that are in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

On 2/19/25 the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 2/18/25. Water outlet M where food is prepared reported with 5.5 ppb or greater lead exceedance level were as follows: Water outlet M had an exceedance of 7.7 ppb respectively. Administrator sent in photos

Katrina ChicoteTELEPHONE: (323) 981-3417
Joanne Solorio CamposTELEPHONE: (323) 981-3350
DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: YAVNEH HEBREW ACADEMY
FACILITY NUMBER: 198005474
VISIT DATE: 03/11/2025
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showing water outlet M(kitchen island sink faucet) to have a note posted saying “this water cannot be used until further notice” and was taped off. Administrator stated that the facility had not been using water outlet M prior to the lead testing.

During this inspection, water outlet M , was observed to be physically removed and caped off. Photos have been provided via email to LPA as well as new photos on todays inspection.

LPAs received all documentation via email including facility sketch, LIC9276, LIC9275, photos and test results from Nachum Joel, Administrator on 2/23/25.


A deficiency was cited on attached 809D. The deficiency listed on the following page were observed by the LPAs and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

A notice of site visit was given to licensee and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Administrator Nachum Joel.
SUPERVISOR'S NAME: Katrina ChicoteTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Joanne Solorio CamposTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/11/2025 05:05 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754


FACILITY NAME: YAVNEH HEBREW ACADEMY
FACILITY NUMBER: 198005474

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/11/2025
Section Cited
CCR
101700.3(b)(1)

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101700.3(b)(1) California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater... (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
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LPAs observed that the water outlet “M”, kitchen island faucet was observed to be removed permanently and is not planning to utilize water outlet M and or replacing it. Administrator states that water outlet M will not be used and LPA’s obtained a declaration
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This requirement is not met as evidenced by: Based on testing results provided by the facility with an Action Level Exceedance (ALE) of 7.7ppb on water outlet M, which poses/posed a potential health, safety or personal rights risk to persons in care.
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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.
Katrina ChicoteTELEPHONE: (323) 981-3417
Joanne Solorio CamposTELEPHONE: (323) 981-3350

DATE: 03/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2025

LIC809 (FAS) - (06/04)
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