<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421702487
Report Date: 09/05/2019
Date Signed: 09/05/2019 04:49:26 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: 9DATE:
09/05/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Jennifer Lewis and Stacie RaichelleTIME COMPLETED:
05:00 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
A case management report is documented to reflect the following deficiencies found during the course of Complaint Investigation #17-CC-20190607113149.

Interviews with staff and parents revealed on more than one occasion the center was not in compliance with the teacher child ratios. It was found that staff #1 had been left with up to 14 children when staff #4 wander away from the area and would not inform staff #1 of there whereabouts. In addition it was revealed a parent stepped in to assist with supervision so that a staff may use the restroom.

In addition, review of staff records revealed there was documentation in the file which revealed staff #1 inappropriately handled a child and yelled at a child March 9, 2018. There is also a reference to another similar incident that occurred in August 2017. The two incidents are violation of child's personal rights that were not reported to the Department as required (refer to Complaint #17-CC-20190607113149).

The following Type A and B deficiencies are cited on page #2 and #3 according to CCR, Title 22 Division 12 Regulations in regards to Teacher-Child Ratio and Reporting Requirements. Appeal rights provided. Upon receipt, post and provide copies of this licensing report: to parents/guardians of children in care at the facility and to parents/guardian of children newly enrolled at the facility during the next 12 months. Licensee shall obtain signatures of parents/guardian on the Acknowledgement of Receipt of Licensing Reports LIC 9224.

LPA observed the Notice of Site Visit posted.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

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

DATE: 09/05/2019
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 3
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: 09/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/09/2019
Section Cited

1
2
3
4
5
6
7
Teacher-Child Ratios: There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
This requirement was not met as evidenced by record reviews and interviews.
8
9
10
11
12
13
14
On more than one occasion the center was not in compliance with the teacher child ratios when staff #1 had been left with up to 14 children when staff #4 wandered away from the area and would not inform staff #1. In addition it was revealed a parent stepped in to assist with supervision so that a staff may use the restroom. This poses a potential Health, Safety or Personal Rights risk 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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:
DATE: 09/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/05/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: 09/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/09/2019
Section Cited

1
2
3
4
5
6
7
Reporting Requirements: Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
8
9
10
11
12
13
14
Events reported shall include the following: Any unusual incident...that threatens the physical or emotional health or safety of any child. -This requirement was not met as evideced by record reviews and interviews. Review of staff records revealed there was documentation in the file which revealed staff #1 inappropriately handled a child and yelled at a child March 9, 2018. There is also a reference to another similar incident that occurred in August 2017 which were not reported as required.
8
9
10
11
12
13
14
This poses a potential Health, Safety or Personal Rights risk to children in care



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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:
DATE: 09/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/05/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3