198017931-1-8-2020-33-CC-ACAS-BKMVHS-20200108152739

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198017931
Report Date: 01/08/2020
Date Signed: 01/08/2020 03:27:44 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:	B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOL		FACILITY NUMBER:	198017931
ADMINISTRATOR:	JENNIFER LEONARD		FACILITY TYPE:	850
ADDRESS:	1434 N. ALTADENA DR		TELEPHONE:	(626) 765-9831
CITY:	PASADENA	STATE: CA	ZIP CODE:	91107
CAPACITY:	55	CENSUS: 20	DATE:	01/08/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Julia Foxman		TIME COMPLETED:	03:45 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) Ariel Cazares conducted an unannounced annual/random inspection on this date. LPA met with Teacher Julia Foxman. Director Jennifer Leonard arrived shortly after and guided LPA on a tour of the facility. There were 20 children present and a total of 5 staff. The facility’s hours of operation are Monday through Friday 7:30am-5:45pm. LPA inspected all areas of the facility both indoors and outdoors. The facility is located on the property of the Pasadena Jewish Temple & Center. The facility consists of 4 classrooms: Coyotes, Dinosaurs, Frogs, and Teddy Bears. Each classroom was inspected. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Napping equipment is available in form of mats. Linens are taken home on Fridays to be washed. There is available drinking water in form of a water pitcher and disposable cups. There are first aid and emergency supplies located in the classrooms. LPA tested the carbon monoxide detector located in the Coyote Classroom and found it to be operational. The children’s restrooms were inspected and observed to be clean and in good condition, with sufficient supplies for children to use. Per director, the isolation area is located in the office and a staff restroom is available for ill children to use. The office is used to store medication for children in a red box. The facility provides two snacks to children. Snacks are prepared in each classroom. LPA observed counter spaces to be clean and free or pests. Snack menu and other required postings were observed in the office.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel Cazares	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

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: B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOL	FACILITY NUMBER: 198017931
	VISIT DATE: 01/08/2020

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LPA inspected the children’s outdoor space. The playground was inspected for safety, cushioning material, good repair and age appropriateness. LPA observed there to be shade and adequate fencing. Drinking water is available in form of a water fountain and portable water pitchers and cups. There are restrooms located outside that can be used. LPA observed them to be clean and well supplied.

Teacher child ratios were observed to be in compliance. Care and supervision was evaluated to determine if the basic needs of children are met.

LPA reviewed staff and children's files and found them to be complete. Sign in and out sheets were reviewed and found to be accurate.

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 observed or cited on this inspection.

Exit interview conducted with Director Jennifer Leonard. A copy of this report and appeal rights were provided and explained.

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 representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel Cazares	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

LIC809 (FAS) - (06/04)

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