<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417229
Report Date: 09/15/2022
Date Signed: 09/15/2022 03:56:07 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
08/04/2022 and conducted by Evaluator Lillian J Casillas
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220804081511
FACILITY NAME:MOGEN DAVID SYNAGOGUE KEHILLAT,MOGENDAVID ECCFACILITY NUMBER:
197417229
ADMINISTRATOR:CECELIE WIZENFELDFACILITY TYPE:
850
ADDRESS:9717 W. PICO BLVD.TELEPHONE:
(310) 556-5609
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY:55CENSUS: 44DATE:
09/15/2022
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Cecelie Wizenfeld. TIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights: Staff denied day care child enrollment for lack of immunizations
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/15/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced complaint visit for the purpose of delivering the findings of the investigation regarding the allegation above. LPA met with Administrator, Cecelie Wizenfeld.

On 8/9/2022, LPA Casillas initiated the complaint investigation and met with Administrator. LPA toured the indoor and outdoor of the facility. LPA observed 0 children in care and 4 staff. LPA interviewed the Administrator, Staff 1 (S1), and Staff 2. LPA also reviewed Child 1’s (C1) file.

The Department conducted a full investigation, which included staff interviews and interviews with relevant parties, as well as a record review, including a review of documentation related to C1. LPA also collected facility admissions (summer camp and preschool) information; however, the investigation did not provide

[CONTINUE PAGE 2]
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
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 2
Control Number 30-CC-20220804081511
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: MOGEN DAVID SYNAGOGUE KEHILLAT,MOGENDAVID ECC
FACILITY NUMBER: 197417229
VISIT DATE: 09/15/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
PAGE 2

sufficient evidence to substantiate the allegation of staff denied day care child enrollment for lack of immunizations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed unsubstantiated.

An exit interview was conducted and a copy of this report was provided to Administrator, Cecelie Wizenfeld.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2