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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008089
Report Date: 11/04/2024
Date Signed: 11/04/2024 11:56:54 AM

Document Has Been Signed on 11/04/2024 11:56 AM - 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: 96DATE:
11/04/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:12 AM
MET WITH:Director Elizabeth Schwandt TIME VISIT/
INSPECTION COMPLETED:
12:10 PM
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On November 4, 2024, an unannounced Case Management - Plan of Corrections (POC) inspection was conducted by Licensing Program Analyst (LPA) Staicy Perry to ensure Type A deficiency issued on 10/28/2024 and Type B deficiency issued on 10/28/2024 were cleared. LPA Perry met with Director Elizabeth Schwandt who guided LPA Perry on a tour of the facility. Census was taken and LPA Perry observed 96 children.

Today, LPA Perry observed and obtained documents of Traniece Ward fingerprints being cleared and associated to the above facility. LPA did observe Fire Extinguishers to be serviced on 10/29/2024 and service tag marked and indicated as serviced.

LPA provided the facility with a "Letter of Deficiency Citations Cleared." Letter must be filed in facility for three years and upon request made accessible to the public for review.

Per Chapter 3, Division 12, Title 22 Regulations no deficiencies are observed today.

LIC9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2024
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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