198021129-2-10-2023-33-CC-CGRN-CNWRV7-20230210122105

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198021129
Report Date: 02/10/2023
Date Signed: 02/10/2023 12:21:12 PM

Document Has Been Signed on 02/10/2023 12:21 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	WESTSIDE JEWISH COMMUNITY INFANT CENTER		FACILITY NUMBER:	198021129
ADMINISTRATOR:	FRIEDMAN, LAUREN		FACILITY TYPE:	830
ADDRESS:	5870 WEST OLYMPIC BLVD		TELEPHONE:	(323) 556-5202
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90036
CAPACITY: 18	TOTAL ENROLLED CHILDREN: 18	CENSUS: 0	DATE:	02/10/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Lauren Friedman		TIME COMPLETED:	12:30 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	An announced pre-licensing site inspection was conducted today by Licensing Program Analyst (LPA) Crystal Green to inspect and measure facility for capacity determination. Applicant is seeking to provide care for 18 children for a new Infant program. Licensing staff met with Director of Early Childhood Education, Lauren Friedman and Director of Administration, Sara Adelman. This proposed Infant Center will operate from Monday through Friday from 7:30AM – 6:00PM. This facility is located on the premises of Westside Jewish Community Center. Also operating on this premises is a licensed preschool with toddler option program (191800750). LPA observed the preschool program to be physically separate both indoors and outdoors from the proposed infant program. At 10: 45am, Licensing staff was guided through a tour of the proposed infant classroom which will be called the Hive. The Infant classroom was observed to have its own entrance. Per Director, sign in will be conducted at the entrance of the classroom via app called Playground. Prior to entrance into the classroom, staff or parents will be required to wear bootie shoe covers. LPA observed age-appropriate toys and furniture. Play equipment and materials for infants were inspected for cleanliness and safety. Individual storage space was observed to be available for each child. The classroom also has feeding chairs available. The infant napping area was observed located within the classroom. LPA observed the napping area to contain (9) cribs and (11) cots. Per Director, sheets and blankets will be washed weekly by the parents. There is a kitchen area available within the classroom with a refrigerator for storing infant formula, bottles, infant food. LPA observed individual clear binds for the infant food and a bottle warmer. LPA observed the facility to have an age- appropriate toilet and sinks available to children. All toilets and sinks are in safe and sanitary operating conditions. There is changing table with cushioning within arm’s length from sink.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WESTSIDE JEWISH COMMUNITY INFANT CENTER	FACILITY NUMBER: 198021129
	VISIT DATE: 02/10/2023

NARRATIVE

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There is a fully equipped first aid kit available in the classroom near the exit. There is smoke detectors and a carbon monoxide detector on site that meets statutory requirements. The isolation area for an ill child will be located in the main office.

At 11: 05 AM, LPA were guided to the outdoor play area. There is adequate shade available outdoor via canopies. All areas around play equipment and slides are cushioned with material to absorb a fall.

Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA reviewed with facility representative the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

At this time, the facility was observed to be in compliance with California Title 22 Regulations. An approved Fire Clearance has been received by the Department. Based on measurements obtained today, capacity for new infant program will be eighteen (18) children.

Exit interview was conducted with Director, Lauren Friedman and a signed copy of this report was provided.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

LIC809 (FAS) - (06/04)

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