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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010209547
Report Date: 10/01/2025
Date Signed: 10/01/2025 03:16:14 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/12/2025 and conducted by Evaluator Briana Plumboy
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250912165455
FACILITY NAME:BETH SHOLOM PRESCHOOLFACILITY NUMBER:
010209547
ADMINISTRATOR:CHASE, AMANDAFACILITY TYPE:
850
ADDRESS:642 DOLORES AVENUETELEPHONE:
(510) 357-8505
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY:49CENSUS: 28DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Beth Zygielbaum- Executive DirectorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Record Keeping- Staff do not ensure that children's records are kept confidential.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/1/25, Licensing Program Analyst (LPA) Briana Plumboy met with Executive Director Beth Zygielbaum for the purpose of an UNANNOUNCED COMPLAINT INSPECTION. Present for this inspection was 28 preschool age children and 9 staff.

The allegation that the staff do not ensure that children's records are kept confidential has been SUBSTANTIATED. Based on LPAs observations and tour of the facility, the office where the staff and children's files are stored was left open on 9/15/25, and the drawers of the file cabinet where the files were stored was not secure. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Title 22, Division 12, Chapter 1, Section 101221(c)(1) is being cited on the attached LIC. 9099D.
A notice of site visit was given and must remain posted for 30ays.
Appeal Rights were given and discussed. An exit interview was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/12/2025 and conducted by Evaluator Briana Plumboy
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250912165455

FACILITY NAME:BETH SHOLOM PRESCHOOLFACILITY NUMBER:
010209547
ADMINISTRATOR:CHASE, AMANDAFACILITY TYPE:
850
ADDRESS:642 DOLORES AVENUETELEPHONE:
(510) 357-8505
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY:49CENSUS: 28DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Beth Zygielbaum- Executive DirectorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Qualifications- Unqualified staff providing care and supervision to daycare children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/1/25, Licensing Program Analyst (LPA) Briana Plumboy met with Executive Director Beth Zygielbaum for the purpose of an UNANNOUNCED COMPLAINT INSPECTION. Present for this inspection was 28 preschool age children and 9 staff.

The allegation that unqualified staff are providing care and supervision to daycare children has been SUBSTANTIATED. Based on LPAs observations and record review, 1 out of 3 classrooms was operating with 2 teacher aides on 9/15/25. S5 and S10 were under the impression S5 was a fully qualified teacher, but through record review, it was found S5 needs to complete 3 more units to be a fully qualified teacher. Per S10, usually there are 2 other qualified teachers in that specific classroom, but they were both off work on 9/15/25. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Title 22, Division 12, Chapter 1, Section 101216.2(e) is being cited on the attached LIC. 9099D.
A notice of site visit was given and must remain posted for 30 days.
Appeal Rights were given and discussed. An exit interview was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 52-CC-20250912165455
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: BETH SHOLOM PRESCHOOL
FACILITY NUMBER: 010209547
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/03/2025
Section Cited
CCR
101221(c)(1)
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2
3
4
5
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7
101221(c)(1) The licensee shall be responsible for safeguarding the confidentiality of record contents.
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5
6
7
On 9/15/25, LPA Plumboy spoke with Beth Zygielbaum about the drawer with staff and children's records being accessible and not secure. Executive Director bought a locked file cabinet and is now utilizing it to safe keep children and staff records.
8
9
10
11
12
13
14
This requirement was not met as evidenced by:
Based on observation, and tour of the facility, the office where the staff and children's files are stored was left open on 9/15/25, and the drawers of the file cabinet where the files were stored were not secure which poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Type B
10/01/2025
Section Cited
CCR
101216.2(e)
1
2
3
4
5
6
7
101216.2(e) An aide shall work only under the direct supervision of a teacher.
1
2
3
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5
6
7
On 9/17/25, Executive Director Beth Zygielbaum submitted a request for an exception for one teacher aide, as well as has a plan in place for maintaining ratio with teachers and staff.
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9
10
11
12
13
14
This requirement was not met as evidenced by:
Based on record review, 1 out of 3 classrooms was operating with 2 teacher aides on 9/15/25. Per Executive Director, 2 qualified teachers were on leave that day which posed a potential health and safety risk to children in care.
8
9
10
11
12
13
14
Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3