Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434411405
Report Date: 01/19/2017
Date Signed: 01/19/2017 10:52:26 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
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:45CENSUS: 26DATE:
01/19/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Esther RosenblatTIME COMPLETED:
11:00 AM
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An unannounced annual random visit was made to the facility. Upon arrival, met with office staff. She stated that Director will be arriving after 9 AM. Later met with Esther Rosenblat.
Today, was a rainy day and children were mainly inside. Toured three class rooms and observed children during free playtime and circle time.
Staff have all their required clearances and they have regular substitute teachers that connected to the facility.
Reviewed all staff records and they are not up to date with their required immunization.
There are no bodies of water at the facility.
Esther stated that there are no fire arms in the facility.
Furniture & equipment are age appropriate.
Bathrooms are clean. Each bathroom has a half door. Analyst advised staff that children must be under visual supervision at all times. Each bathroom has hand soap, hand paper towel and toilet paper.
Floors appear clean.
Playground has age appropriate equipment. They have tanbark for their resilient material.They have sand box and due to heavy rain the cover collected rain water. They will drain the rain water prior to usage.
During today's visit temperature of all rooms were comfortable.
They have accessible drinking water inside and outside.
Facility provides two snacks which are prepared in the kitchen next to office.
Kitchen has a refrigerator, stove and running hot and cold water. Parents provide lunches for their children.
Children nap at this program. They use cots for children. Children bring in their beddings and center provides sheets for their cots.
Reviewed sampling of staff and children's records. Records were all up to date.
Staff have current CPR & 1st aid cards.
Children were supervised during the visit. Teacher/child ratio was met during the visit.
See next pages for continuation of the report.
SUPERVISOR'S NAME: Timetra FaulconTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Roya ShahkaramiTELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2017
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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