010210478-6-13-2023-02-CC-SCOZ-CSRSL8-20230613135755

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010210478
Report Date: 06/13/2023
Date Signed: 06/13/2023 01:58:24 PM

Document Has Been Signed on 06/13/2023 01:58 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	CONGREGATION BETH ISRAEL-GAN SHALOM		FACILITY NUMBER:	010210478
ADMINISTRATOR:	EMMA SCHNUR		FACILITY TYPE:	850
ADDRESS:	2230-32 JEFFERSON STREET		TELEPHONE:	(510) 848-3298
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94703
CAPACITY: 32	TOTAL ENROLLED CHILDREN: 32	CENSUS: 28	DATE:	06/13/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:47 PM
MET WITH:	Emma Schnur		TIME COMPLETED:	02:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 6/13/2023 Licensing Program Analyst (LPA) met with Director (Emma Schnur) for a Required 1-Year Inspection. Present for this inspection are the Director, 6 fingerprint cleared and associated staff members, and (28) preschool aged children in care. The facility operates Monday - Friday 7:30AM-5:30PM. The center is a converted two story home which has three classrooms for use, (Keshet Class and art studio for 2 year olds, and downstairs classroom for ages 3 and up,) a kitchen, four bathrooms, bike and stroller parking and a fenced outdoor space. Sign-in and sign-out sheets were reviewed to verify census and signatures. The facility is in good repair. CLASSROOMS: The entire center was inspected. There are adequate play and learning materials available. Furniture and equipment is age appropriate and in good repair. There is adequate heating, lighting and ventilation. Drinking water is available inside and outside the center. There is proper individual storage space for each child. There are separate bathrooms for staff and children. The isolation area for sick children is located in the director's office. BATHROOMS AND TOILETING AREAS: Toilets and facets work properly. The children are able to reach the sink and toilets. Toilet paper, soap, and paper towels are all available to the children. Adequate lighting is provided in the bathroom. The school provides cold and hot water to the children. INSPECTION OF FOOD SERVICE AREA: The school provides two snacks a day. Children bring their lunch from home. INSPECTION OF OUTDOOR PLAY AREA: There are age appropriate toys and materials for the children. They is a large play structure, bicycles and other individual toys.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: CONGREGATION BETH ISRAEL-GAN SHALOM	FACILITY NUMBER: 010210478
	VISIT DATE: 06/13/2023

NARRATIVE

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HEALTH RELATED SERVICES: The director does not store any medications at the facility. The first aid kit is complete. RECORDS: Staff members and children's files were reviewed. Required forms were posted in a public accessible area.

CPR and First Aid certificates are current for at least one person on site and will expire on 09/2023 (Azra Hussein). Per director, they will have an onsite First Aid and CPR instructor coming in to train all the staff by next week. The smoke detector is a hard wired alarm.

The last fire drill was conducted May 11, 2023 Incidental Medical Services were discussed with the licensee. The licensee is providing IMS (Incidental Medical Services) at this time.

A child care roster and personnel report was obtained.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

LIC809 (FAS) - (06/04)

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