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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 12:49:38 PM

Document Has Been Signed on 11/04/2024 12:49 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: 96DATE:
11/04/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:19 PM
MET WITH:Director Elizabeth Schwandt TIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced Case Management inspection for the purpose of Staff File Review. Upon arrival, LPA met with Director Elizabeth Schwandt, to whom the purpose of the inspection was explained. Tour of the facility was provided. There were children present during the time of inspection. Census was taken and LPA Perry observed 96 children in care.

During today's inspection, LPA conducted Staff file reviews on five staff files. LPA observed staff files to have Pediatric First Aid/ CPR certification file and up to date, and all staff have proof of immunization against Pertussis, MMR, and Influenza and or declination. All staff has completed the Child Abuse Mandated Reporter (AB 1207) training. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com to be complete and all staff had the required Mandated Reporter training on file and current. LPA Perry did observe all licensing forms to be completed and on file.

Based on the LPA Perry observations and records review, no deficiencies are 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.

Exit interview conducted and report was reviewed with the Director Elizabeth Schwandt. Appeal Rights were discussed and provided.

END OF REPORT

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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