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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005474
Report Date: 02/11/2025
Date Signed: 02/12/2025 04:30:21 PM

Document Has Been Signed on 02/12/2025 04:30 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:YAVNEH HEBREW ACADEMYFACILITY NUMBER:
198005474
ADMINISTRATOR/
DIRECTOR:
SARA SHELTONFACILITY TYPE:
850
ADDRESS:5353 W. THIRD STREETTELEPHONE:
(323) 931-5808
CITY:LOS ANGELESSTATE: CAZIP CODE:
90020
CAPACITY: 120TOTAL ENROLLED CHILDREN: 103CENSUS: 100DATE:
02/11/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Sara Shelton, DirectorTIME VISIT/
INSPECTION COMPLETED:
05:45 PM
NARRATIVE
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On Tuesday February 11, 2025, Licensing Program Analyst (LPA’s) Joanne Solorio Campos and Staicy Perry conducted an unannounced annual inspection and were greeted at the entrance by armed guard security. Administrator was informed and came out to meet with LPA's who then guided us into the facility. LPA;s then met with Director Sarah Shelton, who was provided with the entrance checklist(LIC125) and then guided LPA’s on a tour of the facility.This is a preschool program consists of 10 classrooms. This program operates Monday to Friday 8:30am to 3:30pm with morning and after care. The facility currently provides transportation via a contracted vendor called Sureway where children are picked up from 3 different pick up points.LPA's discussed transportation protocols. The facility is licensed for 10 toddlers ages 18 to 36 months and 110 preschoolers from ages 2 into entry of 1st grade. Per Director there are currently no toddlers enrolled at this time and LPA’s did advise Director to notify the department when children are enrolled as toddler rooms are not currently being used as licensed for.The early childcare program operates separately but on an elementary school campus.

All areas identified on the facility sketch were toured and inspected both indoors and outdoors. Teacher and child ratio were observed, and present staff are fingerprinted cleared. The following classrooms were inspected today: Room 123(14 children 3 staff) Room 124(12 children 3 staff) Room 129(11 children 3 staff), Room 130(10 children 3 staff), Room 131(15 children 3 staff), Room 132(10 children 3 staff) Room 133(13 children 3 staff) and Room 135(13 children 3 staff). LPA’s entered the classrooms and observed furniture, manipulatives, toys, and books made accessible to the children to be age appropriate and free of sharp, loose, or pointed parts. LPA’s observed a cubby for children to store their personal belongings. Cleaning solutions were made inaccessible to children. LPA’s observed mats stored in the classroom and children’s individual sleeping sheets labeled and stored in labeled cubbies. LPA’s Solorio Campos and Perry observed trash bins with lids inside the classroom.

SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE: DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/11/2025
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 9
Document Has Been Signed on 02/12/2025 04:30 PM - It Cannot Be Edited


Created By: Joanne Solorio Campos On 02/11/2025 at 04:16 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: YAVNEH HEBREW ACADEMY

FACILITY NUMBER: 198005474

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/11/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/18/2025
Plan of Correction
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Per director, facility will get in contact with a Lead Company and schedule a lead visit and close off all faucets accessible and provide photos. Facility will subit the confirmation and once lead testing has been conducted director will submit lead results to LPA.
Type A
Section Cited
CCR
101221(b)(10)
Child's Records
(b) Each record shall contain information including, but not limited to, the following: (10) Record of current medications, including the name of the prescribing physician, and instructions, if any, regarding control and custody of medications.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in facility not having IMS plans for children on medication and no medication available on site, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/13/2025
Plan of Correction
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During the inspection director was able to provide some of the missing IMS plans and locate some medication. Director will submit photos of the medication in it's original packaging and missing IMS plans by POC date to LPA. Director reviewed pins and will submitted summary of what she learned to LPA.
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:Katrina Chicote
LICENSING EVALUATOR NAME:Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2025


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Document Has Been Signed on 02/12/2025 04:30 PM - It Cannot Be Edited


Created By: Joanne Solorio Campos On 02/11/2025 at 04:16 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: YAVNEH HEBREW ACADEMY

FACILITY NUMBER: 198005474

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/11/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review the licensee did not comply with the section cited above where 3 out of 5 staff did not have MR training, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/12/2025
Plan of Correction
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Director will provide LPA with mandated reporter certificates by POC date.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review the licensee did not comply with the section cited above in 1 out of 5 staff did not have immunizations available, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/12/2025
Plan of Correction
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Per director immunizations will be provided and submitted to LPA by POC date.
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:Katrina Chicote
LICENSING EVALUATOR NAME:Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2025


LIC809 (FAS) - (06/04)
Page: 3 of 9
Document Has Been Signed on 02/12/2025 04:30 PM - It Cannot Be Edited


Created By: Joanne Solorio Campos On 02/11/2025 at 04:16 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: YAVNEH HEBREW ACADEMY

FACILITY NUMBER: 198005474

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/11/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216.1(c)(1)
Teacher Qualifications and Duties
(c) To be a fully qualified teacher, a teacher shall have one of the following: (1) Twelve postsecondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation,interview, record review the licensee did not comply with the section cited above in 3 out of 5 staff did not have any units on file for review, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/12/2025
Plan of Correction
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Per director she will provide staff qualitfications to LPA by POC date.
Type B
Section Cited
CCR
101229.1(a)(1)
Sign In and Sign Out
(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in not having sign in/out sheets for the department to review, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/12/2025
Plan of Correction
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Declaration was obtained from director stating she would implement this immediately. Director will provide LPA with two weeks worth of sign in/out sheets by POC date to LPA via email.
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:Katrina Chicote
LICENSING EVALUATOR NAME:Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2025


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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: YAVNEH HEBREW ACADEMY
FACILITY NUMBER: 198005474
VISIT DATE: 02/11/2025
NARRATIVE
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LPA’s observed the restrooms located in the classrooms. LPA’s observed the restrooms to have working toilets, sinks, hand soap dispenser and paper towels. Rooms 129 and 130 share a restroom and rooms 131 and 133 share a restroom. Room 135 also has a restroom inside that is used while children play in the outdoor area.

Heating, lighting, and ventilation were evaluated by LPA’s. LPA’s observed central AC/heater and vents located on the ceiling. LPA observed the thermostats located in the classrooms and temperatures to be between 70-72 degrees. LPA’s observed the fire extinguishers located in the hallways outside of the classrooms and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 11/2024. Smoke detectors were not tested during this visit due to the detectors being wired to the emergency pull down fire alarm system. Carbon monoxide detectors were not tested due to being in line with the fire alarm system. The last emergency drill was conducted on 12/11/24. First aid kit supplies are kept inside the nurse’s office. During this visit licensee stated that they currently do have children with medication or severe food allergies. LPA’s did review 5 children’s files for IMS plans and medication. Upon review of child #1’s file LPA’s did not observe an IMS plan and medication on site. Per director they stated that it was an error and LPA’s confirmed with mother via phone call during visit. No medication is needed for child #1. During inspection LPA’s did not observe an IMS plan or medication on site for child #2. LPA’s and director called mother during visit and mother confirmed that medication is needed on site, mother did provide child’s IMS plan and school nurse was able to find child #2’s epi-pen and stated it was located in the expired bin. Upon review of the epi-pen LPA’s observed it to be current and not expired, however LPA’s observed the medication to be in a zip lock bag with child’s name hand written on it and not in the original packaging. LPA’s reviewed child #3’s file for IMS plan and IMS plan was not observed. Child #3 did have medication on site and was labeled properly. LPA’s reviewed child #4s file for IMS plan and medication on site. LPA’s did not observe Child #4 IMS plan during initial file review. However during the visit parent was called and was able to provide the IMS plan via email. LPAs did advise Director of the importance of keeping all documents on file for the department to review. Medication for Child #4 was available and current. LPA’s reviewed Child #5’s file for IMS plan and medication. LPAs did not observe IMS plan for C#5. Before inspection concluded LPA’s were provided with school’s medical information form (internal form) where parents give consent to medication that can be administered by school nurse and confirmed with mother via phone call that an epi pen was never prescribed to child #5. LPA’s advised director to maintain up to date records accordingly. Based on record of current medications, including the name of the prescribing physician, and instructions, if any, regarding control and custody of medications, the above mentioned poses an immediate risk to the health and safety of the children in care.

SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC809 (FAS) - (06/04)
Page: 5 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: YAVNEH HEBREW ACADEMY
FACILITY NUMBER: 198005474
VISIT DATE: 02/11/2025
NARRATIVE
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LPA’s asked if there were any poisons, firearms, weapons, or bodies of water and licensee stated they had none of the above mentioned and LPA’s did not observe any. Licensee stated the ill isolation area takes place in the nurse’s office. LPA’s observed armed guards upon entry into the facility in two main entrance points and LPA’s did observe waiver on file for armed guard.

LPA’s Solorio Campos and Perry entered the outdoor play area and observed the playground yard to be fully fenced. The surface of the outdoor activity space is maintained in safe conditions and free of hazards. The children’s play structure and equipment was observed to be age appropriate and areas around or under climbing equipment, are cushioned with material that may absorb a fall. LPA’s observed shade sails for shade.


The facility provides all meals to the children being that lunch is optional. Containers used to discard food were observed to have lids. LPA’s informed licensee that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. For water drinking children bring their own water bottles and facility provides additional water via water fountains that are located throughout the facility. LPA’s did not observe Lead Testing to be completed. Per Administrator LEAD testing has not be completed and facility was unaware that this was a regulation. Upon walk through of the kitchen, the facility was observed to be preparing meals for the children. LPA’s did not observe faucets to be inaccessible or not in use. All faucets were observed accessible to the children and in use. Per, Operations Director, new pipes were installed but lead testing was not completed. During our walkthrough of the facility LPAs did observe the children drinking water from the water fountains. LPAs did advise to review PIN 21-21.1CCP, which poses an immediate risk to the health and safety of the children in care. The facility was observed to be free of flies, other insects, and rodents.



The following documents were posted in a prominent, publicly accessible area at the facility: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), Menu, and Earthquake Preparedness (LIC 9148). PUB 269 Child Passenger System Poster, and Daily Schedule. LPA’s were unable to review sign in/out sheets due facility using an online application where the staff logs the children in. LPA’s did review the online application and it does not document a signature or time of sign in/out of child. Per director, they have been utilizing this method since the pandemic and stated previous licensing staff did not address this with the facility. LPA’s did review Title 22 Regulations regarding sign in/out. Facility was unable to provide LPA’s with sign in/out sheets for the day, which poses a potential risk to the health and safety of the children in care.
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC809 (FAS) - (06/04)
Page: 6 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: YAVNEH HEBREW ACADEMY
FACILITY NUMBER: 198005474
VISIT DATE: 02/11/2025
NARRATIVE
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LPA’s reviewed the children’s roster, children’s files and files were observed to be incomplete. LPAs reviewed staff files and staff files were observed to be incomplete. 1 out of 5 staff records had no MMR vaccination for department to review. 3 out of 5 staff have no education units for department to review. 2 out of 5 staff records were observed not to have mandated reporter training. Director was reminded that mandated reporter must be completed every 2 years and is available at www.mandatedreporterca.com, which poses a potential risk to the health and safety of the children in care.

LPA’s observed Director’s Sarah Shelton Pediatric First Aid/CPR certification and expires 7/2025 and has proof of immunization against Pertussis, MMR, and Influenza declination. Director has completed the mandated reporter (AB 1207) training and expires 11/6/2025. Director was advised that the mandated reporter training must be completed every 2 years and is available at www.mandatedreporterca.com. Preventative Health & Safety was observed to be on file and dated 3/2/2023. CCLD Orientation was observed to be on file and dated August 30th, 2020.


Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA’s discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA’s also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC809 (FAS) - (06/04)
Page: 7 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: YAVNEH HEBREW ACADEMY
FACILITY NUMBER: 198005474
VISIT DATE: 02/11/2025
NARRATIVE
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Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP).

LPAs verified that the lead testing was not completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.


At this time, the licensee is not in compliance with California Title 22 Regulations. Therefore, there are citations being issued today.

The deficiency listed on the following page was observed by the LPAs and is being cited in accordance with California Code of Regulations Title 22 or Health and Safety code. Two type A deficiency is being issued today Please see attached LIC 809-D for citation. Deficiencies that are being cited need to be cleared to
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC809 (FAS) - (06/04)
Page: 8 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: YAVNEH HEBREW ACADEMY
FACILITY NUMBER: 198005474
VISIT DATE: 02/11/2025
NARRATIVE
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protect the children’s health & safety. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt. As well as 4 type B deficiencies being issued today. Please see attached LIC 809-D for citation.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with licensee Sara Shelton.

Appeal Rights were provided and discussed.
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC809 (FAS) - (06/04)
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