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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191202129
Report Date: 11/01/2023
Date Signed: 11/01/2023 02:44:41 PM


Document Has Been Signed on 11/01/2023 02:44 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:TEMPLE ALIYAHFACILITY NUMBER:
191202129
ADMINISTRATOR:ANDREA SEGALLFACILITY TYPE:
850
ADDRESS:6025 VALLEY CIRCLE BLVD.TELEPHONE:
(818) 346-1552
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:218CENSUS: 78DATE:
11/01/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Robyn Wayne - DirectorTIME COMPLETED:
03:00 PM
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On 11/1/2023 Licensing Program Analysts (LPAs), Suzette Ornelas and Ellorine Jankans conducted unannounced required annual inspection at . LPAs met with Center Director, Robin Wayne and discussed the purpose of the visit. The Director guided LPAs on a tour of the facility inside and out. Days and hours of operation are Monday through Friday 7:30am- 4:30pm.

LPAs observed all required postings in a prominent area. LPAs observed 78 children and 16 staff. All children are under supervision, including visual supervision, of a teacher at all times. Capacity and limitations as specified on the license are being maintained. A walk through of the classroom area was conducted. LPAs observed 13 licensed preschool classrooms on the premises, 1 which is a toddler classroom.

RM1/RM2/RM3/RM4/RM5/RM6/RM10/RM11/RM12 10- TODDLER ROOM

Due to low enrollment, RM7, RM8, RM14 are not currently being used



RM 1: 10 children with a ratio of 2 teachers
RM 2: 10 children with a ratio of 2 teachers
RM 3: 12 children with a ratio of 2 teachers
RM 4: 9 children with a ratio of 2 teachers
RM 5: 5 children with a ratio of 2 teachers
RM 6: 10 children with a ratio of 2 teachers
RM 7: NOT CURRENTLY IN USE
RM 8: NOT CURRENTLY IN USE
RM 9: NAP ROOM
RM 10: 10 children with a ratio of 2 teachers
SUPERVISOR'S NAME: Betty BellTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:
DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/01/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: TEMPLE ALIYAH
FACILITY NUMBER: 191202129
VISIT DATE: 11/01/2023
NARRATIVE
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RM 11: 9 children with a ratio of 2 teachers
RM 12: 8 children with a ratio of 1 teachers
RM 13: ART CLASSROOM
RM 14: NOT CURRENTLY IN USE

A walk through of the classroom room space was conducted, the space was found to be clean and free from any potential hazards. Furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation.

The bathroom and toileting areas were inspected, LPAs observed toilets and sinks to accommodate the facility’s capacity. Facility is equipped with a boys restroom which consists of- 4 toilets, 4 urinals, 2 changing tables and 4 sinks. A girl restroom which consists of 2 changing tables, 6 toilets, 4 sinks. RM11, RM12, RM13 and RM14 all have a restroom located in the classroom which consists of 1 toilet and 1 sink. Toilets flush properly, toilet and sinks are reachable by the children in care. The restrooms have adequate toilet paper and paper towels available. The bathrooms were found to be clean. There is adequate lighting/ventilation in the bathroom area.



The facility has sufficient cots or mats for napping. Each mat or cot is occupied by only one child at time.

Continuation will occur at a later time.

SUPERVISOR'S NAME: Betty BellTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2