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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
010210478
Report Date:
05/01/2024
Date Signed:
05/01/2024 01:50:52 PM
Document Has Been Signed on
05/01/2024 01:50 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
OAKLAND CC RO
,
1515 CLAY STREET, SUITE 1102
OAKLAND
,
CA
94612
FACILITY NAME:
CONGREGATION BETH ISRAEL-GAN SHALOM
FACILITY NUMBER:
010210478
ADMINISTRATOR/
DIRECTOR:
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:
22
DATE:
05/01/2024
TYPE OF VISIT:
Case Management - Licensee Initiated
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:
Emma Schnur
TIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Dealia Frison and Cherie Acosta conducted an unannounced inspection. LPA's met with Director Emma Schnur. Their where 22 children in care today. LPA's toured the facility for a health and safety inspection.
Director notified LPA about changes to play yard on 3/15/24. Changes where completed during spring break.
They removed the concrete pathway and replaced it with a rubber pathway.
LPA's observed the newly installation pathway to be safe for children. There were know deficiencies sited during todays inspection. Notice of site visit was provided and must be posted for 30 days.
Exit interview and reports was reviewed with Emma Schnur.
SUPERVISORS NAME
:
Sherelle Johnson
LICENSING EVALUATOR NAME
:
Dealia Frison
LICENSING EVALUATOR SIGNATURE
:
DATE:
05/01/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/01/2024
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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