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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191600678
Report Date: 05/14/2025
Date Signed: 05/14/2025 05:46:41 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/06/2025 and conducted by Evaluator Judy Laureano
COMPLAINT CONTROL NUMBER: 30-CC-20250506123226
FACILITY NAME:TEMPLE ISAIAH PRE-SCHOOL CENTERFACILITY NUMBER:
191600678
ADMINISTRATOR:AVITAL ETEHADFACILITY TYPE:
850
ADDRESS:10345 W PICO BLVDTELEPHONE:
(310) 553-3552
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY:306CENSUS: 0DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Avital Etehad, DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Reporting Requierments: Staff did not provide parents with a copy of the licensing report
INVESTIGATION FINDINGS:
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On 5/14/2025 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced complaint investigation to investigate the above mentioned allegation. LPA met with Avital Etehad, facility director. LPA toured the facility indoors and outdoors and observed no children in care. Director stated children are not present due to parent teacher conferences today.

LPA reviewed communication provided to parents where information was shared regarding previous inspection and how facility addressed issues that arose from that inspection. LPA reviewed children’s file and class roster for Pollywogs, Yellow Submarine and Hungry Caterpillar classroom. A Notice of Site Visit was observed posted in a visible location.

Based on the two communication messages shared with parents and director’s interview, facility did not provide parents with a copy of the licensing report, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 30-CC-20250506123226
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: TEMPLE ISAIAH PRE-SCHOOL CENTER
FACILITY NUMBER: 191600678
VISIT DATE: 05/14/2025
NARRATIVE
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Upon on receipt of this report, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Licensee Avital Etehad. A copy of this report and Appeal Rights were discussed and left with Licensee, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20250506123226
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: TEMPLE ISAIAH PRE-SCHOOL CENTER
FACILITY NUMBER: 191600678
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/28/2025
Section Cited
HSC
1596.8595(c)(1)
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1596.8595 (c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation ...
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Director agrees to post theDirector agrees to post the Licesing report on Parent Board located in the education suite. Director also agrees so send a message to parents with transparency website access report link. report on Parent Board located in the education suite. Director also agrees so send a message to parents with transparency website access report link.
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This requirement is not met as evidenced by: Based on the two communication messages shared with parents and director’s interview, facility did not provide parents with a copy of the licensing report.
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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.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
LIC9099 (FAS) - (06/04)
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