Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313616885
Report Date: 03/06/2019
Date Signed 03/07/2019 07:15:07 AM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/01/2019 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20190301114928
FACILITY NAME:GAN YELADIM JEWISH PRESCHOOLFACILITY NUMBER:
313616885
ADMINISTRATOR:KORIK, MALKAFACILITY TYPE:
850
ADDRESS:4410 DOUGLAS BLVD.TELEPHONE:
(916) 500-4522
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY:30CENSUS: 24DATE:
03/06/2019
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Malka KorikTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Day care is using an unpermitted building.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Jeremey McClain and Christopher Bellow met with Director Malka Korik and Administrator Isroel Korik for the purpose of a complaint investigation. LPAs observed 24 preschool children supervised by four staff members in separate areas of the facility today. It was alleged that an unpermitted building on the facility grounds are being used for day care children. During today’s inspection, LPAs made observations to all buildings on the premises and conducted and interview with the director and administrator. The facility is in the process of constructing a new building for use. It was stated that the building is not currently used for day care children or during day care hours.
Based on the conflicting evidence that was submitted, the allegation is determined to be unsubstantiated. Although the allegation may be valid, there is not a preponderance of evidence to prove or disprove.
There were no Title 22 deficiencies related to today’s complaint investigation. An exit interview was conducted and a Notice of Site Visit posted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2019
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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