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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401949
Report Date: 06/15/2022
Date Signed: 06/15/2022 11:21:18 AM

Document Has Been Signed on 06/15/2022 11:21 AM - 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:GAN ILAN PRESCHOOL - TEMPLE ISAIAHFACILITY NUMBER:
073401949
ADMINISTRATOR:COURTNEY LUDLOWFACILITY TYPE:
850
ADDRESS:945 RISA ROADTELEPHONE:
(925) 284-8453
CITY:LAFAYETTESTATE: CAZIP CODE:
94549
CAPACITY: 95TOTAL ENROLLED CHILDREN: 76CENSUS: 60DATE:
06/15/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Courtney LudlowTIME COMPLETED:
11:30 AM
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ON 6/15/22 at 8:45 am Licensing Program Analysts (LPAs) Monica Mathur and Christina Watts conducted a unannounced Case Management inspection at Gan Ilan Temple Isaiah facility and met with Director, Courtney Ludlow. LPAs explained the purpose of the visit which is to investigate an unusual incident self reported by the Center. Incident involves an allegation that child learned inappropriate behavior at the center. This Center follows a school year schedule, preschool program is closed for the summer but at present they are running a summer camp for preschool children. Present in the facility were 60 children today.

LPAs conducted staff interviews, did facility walk through, made observations and obtained children Roster. This incident needs further investigation. No deficiency was issued today. This report was reviewed with Director, Courtney Ludlow and a Notice of Site Visit was issued, must be posted for 30 consecutive days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2022
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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