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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414000829
Report Date: 05/09/2019
Date Signed: 05/09/2019 04:14:06 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/25/2019 and conducted by Evaluator Cindy Interiano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20190225171817
FACILITY NAME:PENINSULA JEWISH COMMUNITY CENTER PRESCHOOLFACILITY NUMBER:
414000829
ADMINISTRATOR:FENYVES, RACHELFACILITY TYPE:
850
ADDRESS:800 FOSTER CITY BLVD.TELEPHONE:
(650) 378-2670
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:300CENSUS: 107DATE:
05/09/2019
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director, Rachel FenyvesTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Cindy Interiano, met with Director, Rachel Fenyves and Assistant Director, Avril Landes for a subsequent complaint inspection to discuss the above allegations. Present in the facility is Director and 20 Staff supervising 107 PreK children.
During the course of the investigation, interviews were conducted with Director and Staff. Based on inspection conducted on 03/05/19, LPA observed a classroom with 1 staff supervising 14 PreK children.
Based on LPA’s observations, the preponderance of evidence standard has been met, therefore the allegation of Facility operating out of ratio is found to be SUBSTANTIATED.
***California Code of Regulations, (Title 22, Div. 12, Ch 3), are being cited on the attached LIC 9099D.
An exit interview was conducted. Appeal rights were given and explained to Assistant Director. A Notice of Site Visit was observed being posted during this inspection.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 05-CC-20190225171817
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: PENINSULA JEWISH COMMUNITY CENTER PRESCHOOL
FACILITY NUMBER: 414000829
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/09/2019
Section Cited
CCR
101216.3(a)
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101216.3(a)Teacher-Child Ratio
There shall be a ratio of one teacher visually observing and supervising no more than 12 children. On 3/5/19, LPA observed 1 staff supervising 14 PreK children during inspection.
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Director immediately contacted a Floater teacher who arrived to meet ratio requirements. Director states she will remind staff to maintain 100% supervision, 100% of the time. If additional support is
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Director contacted a Floater teacher to meet ratio requirements. This requirement was not met as evidence based on LPA’s observations. This poses a potential safety risk to children in care.
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needed, Staff must contact the Office immediately.
During today’s follow up inspection, all classrooms were within Staff:Children ratios.
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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.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/25/2019 and conducted by Evaluator Cindy Interiano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20190225171817

FACILITY NAME:PENINSULA JEWISH COMMUNITY CENTER PRESCHOOLFACILITY NUMBER:
414000829
ADMINISTRATOR:FENYVES, RACHELFACILITY TYPE:
850
ADDRESS:800 FOSTER CITY BLVD.TELEPHONE:
(650) 378-2670
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:300CENSUS: 107DATE:
05/09/2019
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director, Rachel FenyvesTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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2
3
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5
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8
9
Children are left in soiled diapers for extended period of time.
Facility staff failed to assist child with toileting.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Cindy Interiano, met with Director, Rachel Fenyves and Assistant Director, Avril Landes for a subsequent complaint inspection to discuss the above allegations. Present in the facility is Director, Assistant Director, and 20 Staff supervising 107 PreK children.
During the course of the investigation, interviews were conducted with Director, Staff, Guardians, and Children. Director and Staff state ‘diapering’ is ‘built’ into the schedule; however, children are checked for soiled diapers throughout the day and changed accordingly. Director and Staff state if a child is soiled and needs assistance in changing, Staff first verbally assists child to teach some independence, then assists child if child is struggling or needs assistance. A child is not left in soiled diaper or soiled clothes for an extended period.
Although the allegations of children being left in soiled diapers for an extended period and Staff failed to assist child with toileting may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are found to be 'Unsubstantiated.'
An exit interview was conducted. Appeal rights were given and explained to Assistant Director. A Notice of Site Visit was posted during this inspection.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3