372005166-6-21-2021-51-CC-JREG-C47VK8-20210621162956

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372005166
Report Date: 06/21/2021
Date Signed: 06/21/2021 04:30:04 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	JEWISH COMMUNITY CENTER; M. LARRY LAWRENCE BRANCH		FACILITY NUMBER:	372005166
ADMINISTRATOR:	FRAN FORMAN		FACILITY TYPE:	850
ADDRESS:	4126 EXECUTIVE DRIVE		TELEPHONE:	(858) 362-1171
CITY:	LA JOLLA	STATE: CA	ZIP CODE:	92037
CAPACITY:	241	CENSUS: 114	DATE:	06/21/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Director Fran Forman		TIME COMPLETED:	04:40 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	On 6/21/21 at 1:30 p.m., Licensing Program Analyst, Joelle Redding, met with Director Fran Forman for the purpose of an unannounced annual inspection. There were 114 children present with 25 teachers in 15 class rooms as follows: Room 1: 2 teachers w/9 children; Room 2: 2 teachers w/5 children; Room #3: 1 teacher w/3 children; Room #4: Toddler Option: 2 teachers w/4 children; Room #5: 2 teachers w/11 children; Room #6: 2 teachers w/8 children; Room #7: 2 teachers w/9 children; Room #8: 1 teacher w/8 children; Room #9: 2 teachers w/5 children; Room #10: 1 teacher w/5 children; ; Room #11: 2 teachers w/14 children; Room #12: 2 teachers w/5 children; Room #13: 1 teacher w/9 children; Room #14: 2 teachers w/12 children and Room #15: 2 teachers w/7 children. The facility is within ratio and capacity. Program operates Monday thru Friday from 7:30 a.m. to 5:30 p.m. with the preschool program officially operating from 9 a.m. to 1 p.m. LPA toured the facility. The furniture, books, games and toys are safe, age-appropriate and in good repair. Rooms were a comfortable temperature during this visit. No hazards were noted. All storage containers and trashes have tight fitting lids and are in good repair. Children bring all their own food. Extra snacks are on hand for emergencies. Hand washing and toileting areas are in a safe, sanitary and operating condition. Medications are kept in a safe place, inaccessible to children. Poisons, disinfectants, cleaning solutions and other items that are dangerous to children have been made inaccessible. There is no evidence of rodent or insect activity. Outdoor play areas are fully fenced with sufficient cushioning and adequate shade. The toddler option playground is separate. Playground equipment and outdoor surfaces are in a safe condition No hazards were noted. Portable water is used. There are no bodies of water, firearms or ammunition on the property. The carbon monoxide detector is operational. LPA reviewed, sign in/out sheets (electronic), a sample of personnel records for a health screening and on-the-job training. A sample of children's records for emergency information and a medical assessment. Children are evaluated upon entry and monitored throughout the day for signs of illness. The isolation are for ill children awaiting pick up is the STEM lab. There are several staff present with current CPR and First Aid certification. SB 792 (staff immunizations)

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2021

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: JEWISH COMMUNITY CENTER; M. LARRY LAWRENCE BRANCH	FACILITY NUMBER: 372005166
	VISIT DATE: 06/21/2021

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Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com.

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. Services are not in place, currently.

Licensee is signed up for Quarterly Updates and Provider Information Notices (PINs).

See LIC 809D for Type B deficiency.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2021

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: JEWISH COMMUNITY CENTER; M. LARRY LAWRENCE BRANCH	FACILITY NUMBER: 372005166
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/21/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/23/2021 Section Cited	1 2 3 4 5 6 7	On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided... and shall complete renewal mandated reporter training every two years...this requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on LPAs file review, with the exception of the Director, none of the staff had current Mandated Reporter training on file. Most had expired in 2019 or 2020. This is a potential hazard to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2021

LIC809 (FAS) - (06/04)

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