304371159-6-18-2021-06-CC-JHAN-C47UG3-20210621153339

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371159
Report Date: 06/18/2021
Date Signed: 06/18/2021 01:26:17 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/29/2021 and conducted by Evaluator Cindy Nguyen

COMPLAINT CONTROL NUMBER: 06-CC-20210429145527

FACILITY NAME:	OLAM JEWISH MONTESSORI OF BETH JACOB		FACILITY NUMBER:	304371159
ADMINISTRATOR:	KREISBERG, DAWN		FACILITY TYPE:	830
ADDRESS:	3880 MICHELSON		TELEPHONE:	(949) 786-5230
CITY:	IRVINE	STATE: CA	ZIP CODE:	92612
CAPACITY:	8	CENSUS: 6	DATE:	06/18/2021
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Interim Director, Symone Sass		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cindy Nguyen conducted an unannounced inspection to investigate the above allegation. This is a continuation of the investigation initiated on 05/05/2021. LPA met with Interim Director, Symone Sass and discussed the above allegation. LPA toured the facility inside and outside. Census was taken as follow: 6 infant children and 2 staff members.

During today's inspection staffing and capacity ratios were met. A review of staff criminal clearance records on this date indicates all facility staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Continued on Page 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20210429145527

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: OLAM JEWISH MONTESSORI OF BETH JACOB	FACILITY NUMBER: 304371159
	VISIT DATE: 06/18/2021

NARRATIVE

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Page 9099C

On 04/29/2021 a complaint was filed with the Licensing Office. Complainant alleged that there were 6 to 7 infants to one teacher in the classroom.

During the investigation LPA conducted 2 physical inspections, interviewed 3 staff members, interviewed parents, obtained staff timecard, children’s sign in/out and a copy of the children's roster. All staff interviewed denied of operating out of ratio. The facility has a total of 6 infant children enrolled. Staff stated max numbers of children in the infant room is 6 infant children with two staff members. Staff also stated there is never more than four infant children with one staff. Staff related that when 4 children arrive another staff is there to help in case additional infant children arrive. The children are being sign in & out in the front, and this allows the office staff to monitor how many we have at all the times. Staff denied there has never been a time where we would be out of ratio. Staff stated that if there is a need to use the restroom the floater staff or the office staff to come into the classroom to help allowing the staff member to take a break.

LPA completed a review of staff timecards and children’s sign-in/out sheets for the week of 04/21/21 to 04/23/21. After a thorough review, the documentation doesn’t support the allegation. Based on the records reviewed, enough staff present to maintain ratio with the number of children signed in. All parents interviewed stated the facility is great. Due to COVID-19 the facility is not allowing parents inside. The children are currently being drop off at the front gate of the school. No parent expressed any concerns about the facility being out of ratio. Children couldn’t be interviewed due to being too young (non-verbal).

Based on LPA observations, interviews which were conducted and record reviews, the preponderance of evidence was not met, therefore the above allegation is found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Interim Director, Symone Sass. Report reviewed and discussed. Notice of Site Visit was posted during the visit. Director was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Appeal rights provided and explained. The director/licensee was provided a copy of their appeal rights (LIC 9058 12/16) and their signature on this form acknowledges receipt of these rights

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021

LIC9099 (FAS) - (06/04)

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