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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008089
Report Date: 10/28/2024
Date Signed: 10/28/2024 02:58:53 PM

Document Has Been Signed on 10/28/2024 02:58 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:SILVERLAKE INDEPENDENT JEWISH COMMUNITY CENTERFACILITY NUMBER:
198008089
ADMINISTRATOR/
DIRECTOR:		ELIZABETH SCHWANDTFACILITY TYPE:
850
ADDRESS:1110 BATES AVE.TELEPHONE:
(323) 663-2255
CITY:LOS ANGELESSTATE: CAZIP CODE:
90029
CAPACITY: 118TOTAL ENROLLED CHILDREN: 109CENSUS: 106DATE:
10/28/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Sharon Eisman, Director of Operations and Lihi Shadmi, Associate Director of Early Childhood EducationTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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
On Monday, October 28, 2024 Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced annual inspection and met with Sharon Eisman, Director of Operations and Lihi Shadmi, Associate Director of Early Childhood Education, who guided LPA Perry on a tour of the facility. It was drop off when inspection took place. Per Sharon Eisman, Director Liz Schwandt is currently out sick.

This is a preschool program which consists of 10 classrooms. Per Sharon Eisman, Director of Operations, there are currently 109 children enrolled in the program. Hours of operation for this facility are 8:15am-5:00pm, Monday-Friday. Sign in and out takes place on a Brighwheel app that parents sign in and out from daily. All areas identified on the facility sketch were toured and inspected both indoors and outdoors. LPA inspected the Bottom Level: Blue Diamonds (2s): 9 children with 3 staff, Orange Stars (2s): 9 children with 2 staff members, Green Circle (2s): 9 children with 2 staff members, and Gold Crescents (2s): 10 children with 3 staff members. The Upper Level was inspected next: Copper (Pre-K): 12 children with 2 staff members, Silver Squares(Pre-K): 10 children with 2 staff members, Yellow Trapezoids (3-4s): 10 children with 2 staff members, Purple Triangles(3-4s): 11 children with 2 staff members, Pink Ovals(2-3s): 13 children with 3 staff members, and Aqua Arrows (2-3s): 13 children with 3 staff members. Stairs were observed to be barricaded by a gate. At 11:15am, present staff member, S#1, was not observed to be fingerprint cleared which poses an immediate risk to the Health & Safety of the children in care. During inspection LPA Perry observed S#1 leave facility premises.



LPA entered all 10 classrooms. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed a cubby for children to store their personal belongings. LPA observed cleaning solutions stored inaccessible for children to reach and open. LPA Perry observed trash bins with a lid. Teacher-child ratios were observed to be in accordance with Title 22 regulations. Staff names were recorded. All children were observed to be under visual supervision of a teacher during tour. The Licensee is within the conditions, limitations, and capacity specified on the license.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2024
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 12
Document Has Been Signed on 10/28/2024 02:58 PM - It Cannot Be Edited


Created By: Staicy Perry On 10/28/2024 at 02:27 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: SILVERLAKE INDEPENDENT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 198008089

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation,interviews and record review, the licensee did not comply with the section cited above in S#1 not being fingerprint cleared, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/29/2024
Plan of Correction
1
2
3
4
During inspection, S#1 was removed from facility. Per Sharon Eisman, Director of Operations and Lihi Shadmi, Associate Director of Early Childhood Education, S#1 will go get fingerprints and not return until fingerprints have been cleared and S#1 is associated to facility. Sharon Eisman, Director of Operations and Lihi Shadmi, Associate Director of Early Childhood Education, will provide LPA Perry with documentation that fingerprints have been cleared for S#1 via email by POC date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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:Brandi VanOosten
LICENSING EVALUATOR NAME:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 10/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/28/2024


LIC809 (FAS) - (06/04)
Page: 2 of 12
Document Has Been Signed on 10/28/2024 02:58 PM - It Cannot Be Edited


Created By: Staicy Perry On 10/28/2024 at 02:27 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: SILVERLAKE INDEPENDENT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 198008089

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview and record review, the licensee did not comply with the section cited above facilities 2A10BC fire extinguishers indicating fully charged and last serviced on 6/13/2023 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/28/2024
Plan of Correction
1
2
3
4
Per Sharon Eisman, Director of Operations and Lihi Shadmi, Associate Director of Early Childhood Education, Fire extinguishers will be serviced and photo will be emailed to LPA Perry by POC date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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:Brandi VanOosten
LICENSING EVALUATOR NAME:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 10/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/28/2024


LIC809 (FAS) - (06/04)
Page: 3 of 12
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: SILVERLAKE INDEPENDENT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 198008089
VISIT DATE: 10/28/2024
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
Heating, lighting, and ventilation were evaluated by LPA Perry. LPA observed central AC/heater and vents located on the walls. LPA observed the thermostats located in classrooms and temperatures to be between 69-71 degrees. At 10:40am, LPA observed the fire extinguishers located in classrooms and hallways and the valve on the required 2A10BC fire extinguishers indicating fully charged and last serviced on 6/13/2023, which poses a potential risk to the health and safety of the children in care. Per Sharon Eisman, Director of Operations and Lihi Shadmi, Associate Director of Early Childhood Education, the Fire extinguishers were just inspected 6 days ago. LPA asked for proof via a receipt and facility could not provide.

Facility has a functioning carbon monoxide detector that meets statutory requirements. The last emergency drill was conducted on 6/4/2024. LPA observed napping equipment cots to be in good condition and stored in the classrooms. First aid kit supplies are kept inside the classrooms and LPA observed the kits to be fully equipped. During this visit, Sharon Eisman, Director of Operations stated currently have no children with medication. LPA Perry asked if there were any poisons, firearms, weapons, or bodies of water. Sharon Eisman, Director of Operations, stated no firearms, weapons, poisons nor bodies of water. LPA did not observe firearms or weapons, poisons, nor bodies of water. Sharon Eisman, Director of Operations stated the ill isolation area takes place in the Associate Director of Early Childhood Education’s office and children will utilize staff restroom.

There are multiple restrooms available throughout the facility on bottom and upper levels. All toilets and hand washing, facilities are safe, sanitary and are operating properly. LPA Perry observed the restrooms to be in good condition with working toilets, sinks, hand soap dispenser and paper towels.

LPA reviewed the outdoor play area. Outdoor playground equipment is in safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is Lower yard that has space to run, swings, and Age-appropriate equipment. There is Middle yard that has a large sandbox and small play structure. Upper Yard has a play structure and garden available. Drinking water is readily available outdoors via children personal cups. For adequate shade, LPA Perry observed shade canopies. LPA observed trash bins.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC809 (FAS) - (06/04)
Page: 8 of 12
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: SILVERLAKE INDEPENDENT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 198008089
VISIT DATE: 10/28/2024
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
This program does not provide meals for the children. Each child enrolled bring their own food, two snacks and a lunch. Facility stated that lunch is only provided on Fridays which it is also optional for the children. LPA Perry informed Sharon Eisman, Director of Operations 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, LPA Perry observed water pitchers and disposable cups in the classrooms. Classrooms have filtered water. LPA observed the food preparation area to be clean and free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including movable bins with tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects, and rodents. Lead testing was conducted; however, facility was unable to provide LPA with results. LPA did not observe results to be posed. Technical provided.

The following documents were not observed 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. Per Liz, Director stated that due to summer program documents licensing board was removed. LPA did provide consultation. During inspection LPA Perry did observe facility staff post licensing board. LPA did provide a technical violation.

LPA Perry reviewed the children’s roster and children’s files and were observed the files to be complete. Due to director being off site sick, staff files were not able to be provide LPA at this time. LPA Perry will return at a later date to review staff files. LPA did advise Sharon about regulations regarding all personnel records being maintained at the child care center and shall be available to the licensing agency for review.

Items discussed during this visit:

1. The following items are prohibited by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both

2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.

3. Current Children’s Roster: Each childcare facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC809 (FAS) - (06/04)
Page: 9 of 12
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: SILVERLAKE INDEPENDENT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 198008089
VISIT DATE: 10/28/2024
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
4.LIC 311A - Records to be Maintained at the Facility: LPAs advised that forms, regulations, and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov.

5.Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR and EMSA approved must be present.
6.Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.

7.Qualifications: Educational background, training, and/or experience for each staff present must be available for review

8. Immunization Requirements: 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 or influenza declination

9.Children’s Records: must be available for review; including but not limited to, the following: Name, address, and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

10.Staff Records: must be available for review; background clearance, LIC 503 Health Screening report, LIC 9108 Statement Acknowledging Requirement to Report Child Abuse, Staff Qualifications, LIC 9050 Employee Rights, LIC 501 Personnel Record, AB 1207 Mandated Child Abuse Certification, MMR, TDAP, TB, influenza or influenza declination.

Facility 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.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC809 (FAS) - (06/04)
Page: 10 of 12
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: SILVERLAKE INDEPENDENT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 198008089
VISIT DATE: 10/28/2024
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
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Childcare 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).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
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 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/.

Facility 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.

Currently the facility is not in compliance with Title 22 regulations.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC809 (FAS) - (06/04)
Page: 11 of 12
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: SILVERLAKE INDEPENDENT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 198008089
VISIT DATE: 10/28/2024
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
The deficiency listed on the following page was observed by the LPA Perry and is being cited in accordance with California Code of Regulations Title 22. One type A deficiency with civil penalties is being issued today for fingerprinted adult. S#1 was not fingerprint cleared. Please see attached LIC 809-D for citation. Deficiencies that are being cited need to be cleared to 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. Facility is also being sited one type B violation for not having fire extinguishers served annually. The deficiency listed on the following page was observed by LPA Perry and is being cited in accordance with California Code of Regulations Title 22.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Appeal rights discussed and provided

Exit interview conducted and report was reviewed with Sharon Eisman, Director of Operations and Lihi Shadmi, Associate Director of Early Childhood Education.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC809 (FAS) - (06/04)
Page: 12 of 12