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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434411405
Report Date: 06/08/2022
Date Signed: 06/08/2022 11:53:33 AM

Document Has Been Signed on 06/08/2022 11:53 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SOUTH BAY GAN TORAH PRESCHOOLFACILITY NUMBER:
434411405
ADMINISTRATOR:LEVIN, YOSEFFACILITY TYPE:
850
ADDRESS:2015 LATHAM STREETTELEPHONE:
(650) 390-0100
CITY:MOUNTAIN VIEWSTATE: CAZIP CODE:
94040
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 10DATE:
06/08/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Esther RosenblatTIME COMPLETED:
11:55 AM
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A Case Management Visit was conducted on this date 6/8/2022 by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with center director, Esther Rosenblat. The center has submitted an application for a CAPACITY DECREASE (removal of Art Room) and ADDITION OF TODDLER OPTION (18month-36months). The center is requesting for up to 11 toddlers in the toddler-option program. A health and safety inspection was conducted inside and outside. The preschool program consists of 3 rooms (PreK Room 2, Preschool Room 3, and Toddler Room 1). Hours of operation are from 7:30am-6:00pm, Monday through Friday. The classrooms were previously measured and the measurements are as follows:

INDOORS: 1466.03 square feet = 42 children
OUTDOORS: 2919.28 square feet = 39 children

First aid supplies are available in the center. Facility has a functioning carbon monoxide detector. The preschool with a toddler option program has 8 sinks and 3 toilets available. There is also a separate staff bathroom. Isolation room for sick children will be the office and staff bathroom.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2022
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SOUTH BAY GAN TORAH PRESCHOOL
FACILITY NUMBER: 434411405
VISIT DATE: 06/08/2022
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A review of staff records on 6/8/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The center has obtained an approved fire clearance from the City of Mountain View Fire Department on 6/1/2022.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

There were no deficiencies cited during this visit. A license for 42 preschoolers, which includes up to 11 toddlers in the toddler-option program will be licensed effective today 6/8/2022. Facility understands that a yard waiver is to be posted once received.

An exit interview was conducted with Director, Esther Rosenblat..
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
LIC809 (FAS) - (06/04)
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