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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421702487
Report Date: 10/01/2019
Date Signed: 10/01/2019 04:25:38 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: 18DATE:
10/01/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Jennifer LewisTIME COMPLETED:
04:35 PM
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(3)Licensing Program Analysts (LPAs) Ruth Gull and Christian Patterson made an unannounced visit for the purpose of conducting a RANDOM/ANNUAL inspection and Change in Capacity. LPAs met with Director Jennifer Lewis and explained the purpose of the visit. The center is located on the grounds of Congregation B'Nai B'rith Church. The center operates Monday through Friday from 7:30am to 5:30pm. There was 1 toddler and 17 preschool children present. The facility was toured inside and outside. There are six classrooms with shared bathrooms. LPAs did not observe any toxins/hazardous items accessible to children. LPAs observed age appropriate toys/furnishings. LPAs reviewed the snack and lunch menu and the parent sign in/sign out sheets. LPAs observed that the outdoor play structure has sufficient cushioning. Drinking water is available both inside and outside. LPAs reviewed a sampling of children's records and staff records for proof of education credits. At least 2 Teachers present have current 1st Aid/CPR certificates valid until at least 09/2021. LPAs reviewed Staff Files for required AB1207 Mandated Reporter Training and proof of immunizations.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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. Director previously submitted an IMS Plan of Operation. CONTINUED ON LIC809-C


SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ruth GullTELEPHONE: (805) 895-4073
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CONGREGATION B'NAI B'RITH
FACILITY NUMBER: 421702487
VISIT DATE: 10/01/2019
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Licensee is requesting to increase the toddler component to 20 children and decrease the preschool to 48 children. The toddler component will be using classrooms 1 and 2 and the preschool will be using classrooms 3-6. LPAs measured all classrooms and the two toddler play yards. Preschool program indoor square footage exceeds the requirement for 48 children. Toddler component indoor square footage exceeds the required square footage for 20 children. Toddler component outdoor square footage exceeds the requirement for 20 children. Two toilets, two changing tables, and five sinks in the toddler classrooms are available which exceeds the requirement for 20 children.

Fire clearance was approved on 09/24/19 for a total of 68 children. Center is licensed for 20 toddlers and 48 preschool children for a total of 68 children, effective today.

Director was reminded that the Child Care Center regulations could be accessed online at www.ccld.ca.gov LPA reviewed and provided Director with Effects of Lead Exposure Pamphlet with Director (To be provided to all current and future parents).

No deficiencies cited in areas that were inspected today. LIC 9213 (Notice of Site Visit) was posted.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ruth GullTELEPHONE: (805) 895-4073
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
LIC809 (FAS) - (06/04)
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