Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313616885
Report Date: 12/17/2015
Date Signed 12/17/2015 10:00:04 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:GAN YELADIM JEWISH PRESCHOOLFACILITY NUMBER:
313616885
ADMINISTRATOR:KORIK, MALKAFACILITY TYPE:
850
ADDRESS:4410 DOUGLAS BLVD.TELEPHONE:
(916) 677-9960
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY:15CENSUS: 9DATE:
12/17/2015
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Mariel TIME COMPLETED:
10:15 AM
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Licensing Program Analysts (LPAs) Steven Lunn and Tanya Washington conducted a POC visit and met with Teacher Daniela Malca. Director Ms. Korik arrived a short time after LPAs arrived. The reason for the visit was discussed with Director. During an annual visit on 12/10/2015 the facility was cited for Teacher-Child Ratio, Buildings and Grounds, Outdoor Activity Space, Personnel Records, Child’s Records and Sign in/Sign out requirements.

Today, LPAs observed six children in the preschool area of the facility and one teacher, and three children in the toddler option with one teacher. Director was made aware that the facility is to remain in compliance with regulations at all times. Director stated she has received three bids for an addition to the restroom in order to increase capacity. The outdoor play area was inspected, Personnel and Children’s records were reviewed as were the Sign in/Sign out sheets. Due to computer issues during the visit on 12/10/2015, the Director did not receive a copy of the report. A copy of the report for that visit was provided today with a POC extension date of 12/18/2015.

Director stated she did not receive the letter regarding the Informal Meeting. Director was informed of the required Informal meeting on Monday, December 21, 2015 at 11:00am to discuss recent deficiencies and past facility compliance issues which she stated was fine. Licensee is to bring with her to the Informal Meeting, copies of completed staff and children’s files and an updated children’s roster.

No deficiencies cited today. Notice of site visit posted.

SUPERVISOR'S NAME: Jennifer BrekkeTELEPHONE: (916) 263-5717
LICENSING EVALUATOR NAME: Steven LunnTELEPHONE: 916-216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2015
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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