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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198021939
Report Date: 08/18/2026
Date Signed: 08/18/2026 05:31:40 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/18/2026 and conducted by Evaluator Stephanie Li
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20260618100807

FACILITY NAME:B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOLFACILITY NUMBER:
198021939
ADMINISTRATOR:CARINA HUFACILITY TYPE:
860
ADDRESS:450 N GARFIELD AVETELEPHONE:
(310) 428-8991
CITY:PASADENASTATE:CAZIP CODE:
91101
CAPACITY:93CENSUS: 25DATE:
08/18/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Director Carina HuTIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Staff are operating out of ratio
Staff do not follow safe sleep protocols
Staff did not report incident to licensing agency
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Stephanie Li conducted an unannounced site inspection to present the findings of the above complaint allegation. Licensing staff met with Director Carina Hu, to whom the reason for the visit was explained. Director provided LPA on a tour of the facility. Present during the inspection was 25 children and 8 staff.

During the investigation licensing staff conducted interviews with director and 6 staff. Licensing staff also obtained several documents related to the complaint allegation, including but not limited to, a copy of the Facility Roster, children’s roster, emergency contacts, daily attendance logs, staff contacts and copies of transcripts, parent handbook, employee handbook, school app messages, copy of internal incident reports completed by teachers, and email follow up with parent and school. Infant sleep check logs and infant needs and service plans were reviewed for completeness. Staff files were also reviewed during this investigation.
*Continued on next page...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 33-CC-20260618100807
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOL
FACILITY NUMBER: 198021939
VISIT DATE: 08/18/2026
NARRATIVE
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Based on statements obtained from interviews, observations and record review, 5 out of 7 disclosures were made regarding staff operating out of ratio, Staff do not follow safe sleep protocols, and staff did not report incident to licensing agency, corroborating the allegation, therefore, the above allegation is deemed SUBSTANTIATED. California Code of Regulations, Title 22 are being cited on the attached LIC9099D.

Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

Three (3) Type A - A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

A notice of site visit was given to licensee and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview and report was reviewed with Director Carina Hu and appeal rights provided.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 33-CC-20260618100807
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOL
FACILITY NUMBER: 198021939
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/19/2026
Section Cited
CCR
101216.3
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(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

This requirement was not met evidenced by:
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Per director, center has implemented teacher break report how many children they are leaving behind and with which teachers. Teachers are being trained on small group work to work with a group of 6 children and leaving other co teacher with less children. Open flow with lower yard, teacher in lower yard is the one resposible for counting moving groups. Teachers are being trained as facilitators, to help with potty, take pictures, and find activities for children to do. Procedures have been implemented. Training notes were provided to LPA during visit.
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Based on observations and statements made, the licensee did not comply with the section cited above as staff were operating out of ratio, which poses an immediate health and safety risks to children in care.
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Type A
08/19/2026
Section Cited
CCR
101429(a)(2)
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 (2) Sleeping infant(s) shall be directly observed by sight and sound at all times.

This requirement was not met evidenced by:
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Per director, she is currently filling in the nap room and providing nap supervision. Per director, 6 toddlers are moving up to next class reducing infant numbers. Teacher breaks are provided by director in stagger shifts so there are always 3 teachers on site for infants. If director is out, fully qualified prek teacher will sub in to break infant staff. Updated break schedules were provided to LPA S Li during visit.
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Based on record review, the licensee did not comply with the section cited above as infants were sleeping in the separated nap room without sound avaiable to teachers in nearby room, which poses an immediate health and safety risks to children in care.
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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: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 33-CC-20260618100807
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOL
FACILITY NUMBER: 198021939
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/19/2026
Section Cited
CCR
101212(d)(1)(B)
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(d) Upon the occurrence, during the operation...of any of the events...report shall be made to the Department by telephone or fax within the Department's next working day...In addition, a written report...within 7 days following the occurrance. (B) Any injury to any child that requires medical treatment.

This requirement was not met evidenced by:
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Per director, facility has been submitting LIC624 incident reports for all incidents requiring reporting. Director is implementing LIC624 staff reporting in teacher expectations. LPA S Li has received LIC624 from director and director has contacted LPA to clarify situations and whether to report or not.
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Based on interview and record review, the licensee did not comply with the section cited above as injury requiring medical was not reported to the licensing department, which poses an immediate health and safety risks to children in care.
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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: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6