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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421702487
Report Date: 06/13/2019
Date Signed: 06/13/2019 01:03:39 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CONGREGATION B'NAI B'RITHFACILITY NUMBER:
421702487
ADMINISTRATOR:JULIE EHRNSTEINFACILITY TYPE:
850
ADDRESS:1000 SAN ANTONIO CREEKTELEPHONE:
(805) 967-6619
CITY:SANTA BARBARASTATE: CAZIP CODE:
93111
CAPACITY:77CENSUS: 34DATE:
06/13/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Jennifer LewisTIME COMPLETED:
01:10 PM
NARRATIVE
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A case management inspection was conducted by Licensing Program Analysts (LPAs) S. Mendoza-Ceja and R. Gull who met with the Interim Director Jennifer Lewis. The Interim Director Jennifer Lewis escorted LPAs through the entire center inside and outside. During the visit, LPAs observed the 8 toddlers (classroom #1) commingling with 10 preschool children (classroom #2) on the playground. The Interim Director Jennifer Lewis was informed the children enrolled in the toddler option may not be commingled with the preschool children.

The following Type B deficiency is cited on page 2 according to CCR, Title 22, Division 12 in regards to commingling toddlers and preschool children. Appeal Rights were reviewed.


The Notice of Site Visit was posted.

FAILURE TO POST THE NOTICE OF SITE FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CONGREGATION B'NAI B'RITH
FACILITY NUMBER: 421702487
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2019
Section Cited
CCR
101216.4(a)(2)
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Preschool Program with Toddler Component: Licensees serving preschool-age children may create a special program component for children who are between 18 months and 36 months of age....The toddler program shall be conducted in areas physically separate from those used by older or younger children.
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Please submit the plan in writing to Licensing by 06/14/2019.
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Space planning and usage for the toddler component shall be governed by the provisions of Section 101438.3. Plans to alternate use of outdoor play space must be approved by the Department. -Based on observation by LPAs and interviews, and record review: the Licensee failed to physically separate the 8 toddlers from the 10 preschoolers which poses a potential Health, Safety or Personal Rights risk to children in care
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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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
LIC809 (FAS) - (06/04)
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