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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700467
Report Date: 08/14/2025
Date Signed: 08/14/2025 12:11:14 PM

Document Has Been Signed on 08/14/2025 12:11 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:VILLAGE JEWISH PRESCHOOLFACILITY NUMBER:
195700467
ADMINISTRATOR/
DIRECTOR:		RIVKA MONTALFACILITY TYPE:
860
ADDRESS:13042 BURBANK BLVDTELEPHONE:
(818) 989-9539
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91401
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 0DATE:
08/14/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:02 AM
MET WITH:Rivka Montal, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
NARRATIVE
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On 08/14/2025 Licensing Program Analysts (LPA) Laticia Thompson met with Rivka Montal, Director. The purpose of todays visit is an announced outdoor activity space measurement and inspection at the facility.

LPA confirmed all corrections required on the prelicensing visit conducted on 7/29/2025 have been made.

Toddler Outdoor measurements are:

The measurements contain a total of 1,587.74 which will not accommodate Applicant’s request for 24 Toddlers. Based on today’s measurement the facility capacity limit for outdoor space is 21 Toddlers.

Preschool Outdoor measurements are:

The measurements contain a total of 7,212 which will accommodate Applicant’s request for 56 Preschool children.

The entire preschool outdoor activity grounds are not completely enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence in the toddler and preschool outdoor space are at least four feet high. The preschool area around and under climbing equipment has a rubber platform for cushioning to prevent injury from falls. There is adequate shade and benches for resting in the preschool outdoor activity area. The toddler outdoor areas does not have adequate shade and benches for resting and lacking age play equipment.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Laticia S Thompson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VILLAGE JEWISH PRESCHOOL
FACILITY NUMBER: 195700467
VISIT DATE: 08/14/2025
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LPA observed equipment and hazards in the toddler and preschool outdoor activity space. Toddlers outdoor activity space is currently under construction that has not been completed.

Applicant was advised to inspect preschool sandbox daily to ensure areas are free of any hazardous foreign material. LPA did not observe any bodies of water.

Director was advised to deliver or mail Firearm Waiver to Regional Office. LPA received an updated facility sketch adjusting staff restroom as a preschool restroom to meet regulation requirements to accommodate capacity requested.

The following corrections are required for outdoor activity areas:

  • Pictures of enclosed entrance gate in preschool area and removal of all hazards material and debris.
  • Pictures of Toddlers Area with completed construction, removal of hazardous material, play equipment, cushioning, shade and benches.

Corrections are due by 08/25/2025.

An exit interview was conducted with a plan of corrected items discussed. LPA provided the Director with appeal rights and a copy of this report. Final license determination will be made upon review by the Licensing Program Manager and corrections.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Laticia S Thompson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC809 (FAS) - (06/04)
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