Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197415614
Report Date: 08/30/2018
Date Signed: 08/30/2018 03:09:33 PM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/29/2018 and conducted by Evaluator Marina Pilossian
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20180829160056
FACILITY NAME:GAN SHELANU PRESCHOOL CENTERFACILITY NUMBER:
197415614
ADMINISTRATOR:MEIR, ILANITFACILITY TYPE:
850
ADDRESS:13625 BURBANK BLVD.TELEPHONE:
(818) 266-4953
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91401
CAPACITY:40CENSUS: 0DATE:
08/30/2018
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Ilanit MeirTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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1) Personal Rights: Staff used inappropriate forms of discipline
2) Reporting Requirements: Licensee/director failed to report the incident to the Department
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Marina Pilossian conducted an unannounced complaint visit for the purpose of investigating the above mentioned allegations. LPA met with the licensee/Director Ilanit Meir. LPA was greeted by the licensee. LPA and licensee/director toured inside and outside the facility on 08/30/2018 at 11:30am.

LPA observed three staff in different areas of the facility cleaning. LPA did not observe any day care children during today's visit. Per licensee/director Ilanit Meir, the school is closed from 8/27/2018 and will resume on 09/04/2018. LPA was not able to review any files for staff or children due to having the files at another location. LPA informed the licensee/director to fax the copies of the facility roster and other pertaining documents to the El Segundo Regional Office at (424) 301-3200.

Continue (LIC809C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Marina PilossianTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2018
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 30-CC-20180829160056
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GAN SHELANU PRESCHOOL CENTER
FACILITY NUMBER: 197415614
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2018
Section Cited
CCR
101212(d)(1)(D)
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Reporting Requirements. A report shall be made to the Department within 24 hours of the occurrence of any unusual incident as specified. This requirement is not met as evidenced by: Licensee/Director admitted to LPA and failed to inform the Department that on 07/09/2018 at approximately 11:15am, staff/teacher #1
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Licensee shall submit an incident report no later than 9/6/2018 documenting the incident that occurred at the facility on 07/09/2018.
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11:15am, staff/teacher was screaming, raising her voice at the toddlers (at least 6 toddlers) in the classroom behind closed door. This is a Type B deficiency which poses a potential Health and Safety risk 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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Marina PilossianTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2018
LIC9099 (FAS) - (06/04)
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Control Number 30-CC-20180829160056
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GAN SHELANU PRESCHOOL CENTER
FACILITY NUMBER: 197415614
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/30/2018
Section Cited
CCR
101223(a)(1)(3)
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Personal Rights. Each child shall be accorded dignity in his/her personal relationships with staff, and other persons. Each child shall be free from corporal or unusual punishment, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature.
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THE DIRECTOR/LICENSEE SHALL HOLD A MEETING WITH ALL STAFF TO DISCUSS INAPPROPRIATE FORMS OF DISCIPLINE. THE DIRECTOR SHALL SUBMIT A PLAN OF ACTION (step by step plan of action) ON APPROPRIATE TYPES OF DISCIPLINE. THE DIRECTOR & ALL STAFF SHALL
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This requirement is not met as evidenced by Staff #1 used inappropriate form of discipline by screaming, raising her their voice at the chidlren (toddlers) on 07/09/2018.
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SIGN THEIR NAMES TO THIS PLAN & SUBMIT VIA FAX OR POSTAL MAIL TO LPA PILOSSIAN BY 8/31/2018

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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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Marina PilossianTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2018
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 30-CC-20180829160056
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GAN SHELANU PRESCHOOL CENTER
FACILITY NUMBER: 197415614
VISIT DATE: 08/30/2018
NARRATIVE
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LPA interviewed the licensee/director during today's visit. Licensee/director Ilanit Meir admitted to LPA that on 07/09/2018 around 11:15am, while walking back to her office, she heard a staff/teacher #1 screaming, raising her voice at the children (toddlers) while the classroom door was closed, and did not think the severity of the incident to file an incident report to the Department, therefore both allegations of Personal Rights: Staff used inappropriate forms of discipline, and Reporting Requirements: Licensee/director failed to report the incident to the Department is substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Assembly Bill 633: Upon receipt by the licensee, licensees are to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation- this includes facility visits and substantiated complaint investigations; copy of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this family child care home in which issues of noncompliance are discussed or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolled child at the facility. Copy of the Acknowledgment of Receipt of Licensing Reports (LIC9224) was printed and provided to the licensee during today's visit.


Appeal rights were discussed and an exit interview was conducted.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Marina PilossianTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2018
LIC9099 (FAS) - (06/04)
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