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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421702487
Report Date: 11/09/2022
Date Signed: 11/09/2022 10:48:44 AM


Document Has Been Signed on 11/09/2022 10:48 AM - It Cannot Be Edited

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:JEN LEWISFACILITY TYPE:
850
ADDRESS:1000 SAN ANTONIO CREEKTELEPHONE:
(805) 967-6619
CITY:SANTA BARBARASTATE: CAZIP CODE:
93111
CAPACITY:72CENSUS: DATE:
11/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Jen LewisTIME COMPLETED:
10:50 AM
NARRATIVE
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On November 9th, 2022 at 8:10 AM Licensing Program Analyst (LPA) Rosie Breault conducted a Required Annual / Random inspection. In addition, Director submitted written request for relocation of play yard. As such, this request will be addressed during the inspection. LPA met with Director Jen Lewis and explained the purpose of the inspection. LPA asked Covid-19 screening questions and no exposure on site. LPA, with director, conducted a tour of the facility inside and out. There were twenty-five (25) children in care at the time of the inspection and ten (10) staff. The center operates from 8:30AM-5:00PM and is open Monday thru Friday.

Licensing required notices were posted prominently at the front entrance and inside the front office. Center uses an electric sign in / out application. Facility provides morning and afternoon snack, and menu was posted within view. The facility uses six (6) classrooms and four (4) bathrooms. Bathrooms were outfitted with ample sinks, urinals, stalls, handwashing supplies, and are functioning. Children bring their own water bottles and facility provides filter water. Bathrooms and classrooms were observed to be clean and inaccessible of toxins. LPA noted age appropriate toy and furnishings in all classrooms. Cleaning supplies, compounds, combustibles, sharps, and hazards were observed to be inaccessible to children. First aid kits are available in classrooms, labeled, and inaccessible to children. The last fire dire was conducted on July 7th, 2022. The facility provides cots for napping and linens are kept separate from one another. Both kitchens were observed to be clean, functioning, and free of rodents. Facility provides incidental medical services. Medications were properly labeled, dated to current, paperwork present, locked, and stored inaccessible to children.

LPA observed play yard to contain age appropriate toys/equipment with perimeter fencing and ample shade to access. There are no bodies of water present.

CONTINUED ON LIC809C

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/09/2022
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 4


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: 11/09/2022
NARRATIVE
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Staff and children records were available upon request. A sampling of children and staff records were reviewed. LPA observed children's files to be complete and current. LPA observed staff files to be incomplete. During file review, LPA noted four (4) out of five (5) teachers have expired Mandated Reporter Training which is a violation of Health and Safety Code 1596.8662 (b) (1). Teacher present has a current Pediatric CPR/First-Aid certificates that is valid until 10/26/2023.

Director provided a written statement to the Department on 10/1/2022 that the facility will undergo a renovation project commencing January 2023 for roughly 14-18 months. The children’s classrooms will not be altered or moved; however, director requested the temporary relocation of toddler and preschool’s outdoor play yard to space in the rear of the campus. The new play yard will be complete with regulatory perimeter fencing, a sound wall and dust barrier, and a paved walkway to ensure safe entry and exit of children. The construction site will be inaccessible to children at all times. The square footage for new toddler area is sufficient, the square footage for the new preschool is sufficient.

Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
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: 11/09/2022
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 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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Based on review of staff files a Type B violation is cited and appeal rights provided.

Temporary play yard has been GRANTED.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 11/09/2022 10:48 AM - It Cannot Be Edited

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: 11/09/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)

On or before March 30th 2018...a licensed child care provider, administrator or employer...shall complete the mandated reporter training...and shall complete renewal mandated reporter training every two years.


This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on staff record review, the licensee did not comply with the section cited above in four (4) out of five (5) counts which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/05/2022
Plan of Correction
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Four remaining staff to complete Mandated Reporter Training by Dec 5th, 2022 and submit certificates to LPA via email (maryrose.breault@dss.ca.gov),
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 11/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/09/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4