Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313616885
Report Date: 05/03/2016
Date Signed 05/03/2016 11:27:39 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: 15DATE:
05/03/2016
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Malka KorikTIME COMPLETED:
11:45 AM
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Licensing Program Analysts (LPAs) Steven Lunn and Tanya Washington arrived at the center and met with Director Malka Korik for an increase of capacity visit. LPA's toured and measured classrooms and the outdoor play space. The preschool is currently licensed to operate for a capacity of 21 children. Licensee is requesting a total capacity of 30. There were four teachers and the Director on site during the visit. Fire clearance was approved for 30 children on April 19, 2016.

The indoor measurements for classrooms used:
Pre-K room near children's restrooms 293 sq. ft.
Pre-school room is 1,032 sq.ft and the toddler room is 213 sq.ft.
Rooms totalled 1,538 sq. ft. which is enough room to accommodate the requested capacity.
There are two sinks and two toilets for children.

Outdoor measurements include the play yard that measured at 1,042 sq. ft., which can only accommodate 14 children. Facility has submitted a waiver to share the play yard with the toddler program at separate times. There shall not be more than 14 children on the play yard at one time.

Upon return to the office, LPA will do a final review of file and waiver request and will then issue a license to serve 24 preschoolers and 6 toddlers for a total capacity of 30 children.
SUPERVISOR'S NAME: Jennifer BrekkeTELEPHONE: (916) 263-5717
LICENSING EVALUATOR NAME: Steven LunnTELEPHONE: 916-216-7798
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2016
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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