198005474-11-10-2022-33-CC-VMGA-CL32D9-20221110161758

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198005474
Report Date: 11/10/2022
Date Signed: 11/10/2022 04:18:01 PM

Document Has Been Signed on 11/10/2022 04:18 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, 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: 79	DATE:	11/10/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Director, Sara Shelton		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 Analysts (LPAs) Veronica Martinez-Garza and Bardo Baluyot conducted an unannounced Required Annual site Inspection. Upon arrival LPAs conducted a COVID risk self-assessment and met with Director Sara Shelton who guided LPAs on a tour of the facility. This program consists of 9 classrooms but only 7 classrooms are being used currently due to low enrollment. The facility also has a toddler component but according to Director there are currently no toddlers enrolled at this time. The early child care program ECD operates separately but within the school that serves children up to the 8th grade. Per Director, the preschool children do not interact with the school age children. The following classrooms were inspected today: Room 123, Room 124, Room 125, Room 126, Room 129, Room 131, and Room 132. Students have access to the classrooms, restrooms (located in the classrooms), and outdoor play area. Pre-pandemic, students were signed in at their assigned classroom by their parents. Per Director, currently all children are picked up and dropped off using side gate on Las Palmas Ave. and are signed in/out by staff after verifying the authorized pick up person. 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 restroom has been designated for the use of ill children. Drinking water is available indoors and outdoors via personal water bottle which are refilled by staff upon request using a filtered water system. Restrooms used were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. The preschool program does not have an assigned kitchen (there is a kitchen on the campus for the older children). The facility provides AM and PM snacks and all lunches are provided by parents. Facility also offers optional food services from a contracted food company. 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 to children.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Veronica Martinez-Garza	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

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: 11/10/2022

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LPAs observed carbon monoxide and fire alarms a hardwired throughout the facility. Fire extinguisher was serviced on 02/02/22.

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 children. Children's roster was reviewed. LPAs observed that staff have current First Aid and CPR (Expires 08/17/2023). 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

No deficiencies were cited in accordance with California Code of Regulations Title 22.

Exit interview conducted and report was reviewed with the Director, Sara Shelton.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPAs advised how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Veronica Martinez-Garza	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC809 (FAS) - (06/04)

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