Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410553
Report Date: 02/14/2018
Date Signed: 02/14/2018 10:19:00 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:MAOHR HATORAHFACILITY NUMBER:
197410553
ADMINISTRATOR:HEKMATJAH, BEATAFACILITY TYPE:
850
ADDRESS:1537 FRANKLIN STREETTELEPHONE:
(310) 453-2601
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:64CENSUS: 6DATE:
02/14/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Beata Hekmatjah (Center Director)TIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Sabrina Martinez conducted an unannounced annual/random inspection at the above mentioned facility. LPA met with Beata HekMatjah, Center Director, who guided analyst on a tour and inspection of the facility.

The facility is currently utilizing 2 classrooms and identified as: RM 1: (2 year olds- 5 year olds) RM 2: (2 year olds-5 year olds).

Upon arrival, LPA observed children engaged in various activities. LPA observed 6 children being supervised by Staff #1 during this inspection. LPA verified that all adults present in the facility have obtained criminal record clearances and are associated to the facility. LPA reviewed the sign in and sign out sheet to verify the census.

All areas identified on the Facility Sketch were inspected. The following staff were present during this inspection: RM 1: 6 preschool children with a ratio of 1 teacher.

A walk through of the classroom space was conducted, classroom space was found to be clean and free from any potential hazards. Furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation. Drinking water is readily available in the classroom. LPA observed water fountain in the classroom. LPA observed drinking water outside the classroom.

Isolation area for sick students is located in the Teacher’s lounge. LPA observed adequate arrangements for isolation and care of ill children. The bathroom and toileting areas were inspected, there are sufficient toilets and sinks to accommodate the facility’s capacity. Toilets flush properly, toilet and sinks are reachable by the children in care. Each restroom has adequate toilet paper and paper towels available. Bathrooms were found to be clean. There is adequate lighting/ventilation in the bathroom areas.

SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (310) 337-4341
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (310) 337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2018
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, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME: MAOHR HATORAH
FACILITY NUMBER: 197410553
VISIT DATE: 02/14/2018
NARRATIVE
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Mandatory forms for the children’s files and staff’s files were observed. Requirements for disaster drills and documentation for both were reviewed. Role and responsibilities of being a mandated reporter were discussed. The licensee was advised how to access forms and Regulations for Child Care Center online at www.ccld.ca.gov. Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. The licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco on the premises.

The Center Director was informed of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541


Email Address: childcareadvocatesprogram@dss.ca.gov

The following were also discussed with the Center Director:



Assembly Bill 633: Upon receipt of a citation for a Type A Deficiency, the director shall post the licensing report for 30 days in addition to the Notice of Site Visit & provide copies of the licensing report (LIC 809D/9099D) to parents/guardians of children in care at the facility by the close of business the following day or the next day child returns to the facility. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file.

Senate Bill 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (310) 337-4341
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (310) 337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2018
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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, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME: MAOHR HATORAH
FACILITY NUMBER: 197410553
VISIT DATE: 02/14/2018
NARRATIVE
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The facility serves am and pm snacks. Food preparation area was toured for safety, cleanliness and proper equipment. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. A review of cleaning and food supply storage areas was made.

Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Play and sand area were inspected for hazards and inaccessibility to bodies of water.

LPA observed the following documents posted at the facility:

· Child passenger restraint system posters


· Menu
· License.
· Notification of Parents’ Rights form (LIC 995).
· Personal Rights form (LIC 613A).
· Emergency Disaster Plan (LIC 610) and Earthquake Preparedness Checklist (LIC 9148).

The facility has one or more functioning fire extinguishers, smoke and carbon monoxide detectors that meet statutory requirements. LPA observed a fully charged fire extinguisher (serviced on May 2017) present in Classroom 1. Facility was observed to be operating within the conditions, limitations, and capacity specified on the license. LPA observed staff records to contain appropriate documentation of education credits. At least one person was observed to be trained in CPR and Pediatric 1st Aid. The Center Director has Pediatric/Infant First Aid and CPR card which expires on 09/2019.

The facility does not provide IMS. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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.html.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (310) 337-4341
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (310) 337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2018
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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, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230

FACILITY NAME: MAOHR HATORAH
FACILITY NUMBER: 197410553
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2018
Section Cited
HSC
1597.622(a)(1)
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Employee and Volunteer Immunization. (a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles.
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The Center Director stated that she will mail to the Culver City Regional Office a copy of Staff #1's immunization records no later than February 28, 2018.
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Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

LPA did not observe proof of immunizations for Staff #1.
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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: Sharalyn Jenkins-SweetenTELEPHONE: (310) 337-4341
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (310) 337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2018
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, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME: MAOHR HATORAH
FACILITY NUMBER: 197410553
VISIT DATE: 02/14/2018
NARRATIVE
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New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. All appeals must be sent to:

California Department of Social Services | Community Care Licensing Division


Culver City Regional Office M.S. 29-13
6167 Bristol Parkway, Suite 400 | Culver City, CA 90230

Assembly Bill 1207: California Child Care Workers; Mandated Training Requirement. Beginning January 1, 2018, all licensed providers, applicants, directors and employees must complete Mandated Reported Training prior to March 30, 2018 and renew training every two years at: www.mandatedreporterca.com.

Nutrition Requirement: Beginning January 1, 2016, AB 290 will require for each new license issued, at least one director or teacher at each child care center or family child care home to have at least one hour of training in the importance of childhood nutrition. This applies to anyone submitting a new application, relocating their facility, selling their facility or transferring their license. Please note this training cannot be completed online or by home study programs. The training must be taken from an Emergency Medical Services Authority (EMSA) approved training program OR an accredited college or university.

Deficiencies were observed during this inspection. Type B Citation was issued. Appeal rights were provided and an exit interview was conducted with Center Director, Beata Hekmatjah. A copy of this report and all other Licensing reports must be made available to the public for 3 years.

SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (310) 337-4341
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (310) 337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2018
LIC809 (FAS) - (06/04)
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