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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191600443
Report Date: 07/06/2023
Date Signed: 07/06/2023 04:05:22 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/25/2023 and conducted by Evaluator Warren Birks
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230525112059
FACILITY NAME:BARBARA AND RAY ALPERT JEWISH COMMUNITY CENTERFACILITY NUMBER:
191600443
ADMINISTRATOR:EMILY GOULDFACILITY TYPE:
850
ADDRESS:3801 EAST WILLOW AVENUETELEPHONE:
(562) 426-7601
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:210CENSUS: 74DATE:
07/06/2023
UNANNOUNCEDTIME BEGAN:
08:43 AM
MET WITH:Jamare HarrisTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Fire Clearance
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced complaint inspection to deliver findings for the above allegations. LPA met with Education Coordinator Jamare Harris who provided assistance with the inspection.

During the course of the investigation, LPA conducted interviews with seven staff and received information from Director Emily Gould. LPA received staff disclosure that the facility used Room 11 (upstairs) as a preschool classroom since the pandemic in 2020. However, Room 11 did not have a fire clearance made through the Department (connected to the preschool) prior to use (as a preschool classroom). This is an immediate risk to children in care. The facility is cited for Fire Clearance and a $500 civil penalty is assessed.

Based on interviews and lack of fire clearance (made through the department), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
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 7
Control Number 54-CC-20230525112059
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BARBARA AND RAY ALPERT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 191600443
VISIT DATE: 07/06/2023
NARRATIVE
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Director Emily Gould informed LPA Birks that during covid in 2020 she had video conference in which she was approved to use Room 11. Note: The citation is cleared as the facility stopped using Room 11 as of May 31, 2023.

A copy of this report must be provided to the parent or guardian of every child and (including any newly enrolled children) for the next 12 months. The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent/guardian). Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) form.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Jamare Harris.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 54-CC-20230525112059
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BARBARA AND RAY ALPERT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 191600443
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/06/2023
Section Cited
CCR
101171(a)(1)
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101171: All child care centers shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal. (1) The request for fire clearance shall be made through and maintained by the Department.
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Director Emily Gould ceased using class 11 on 5/31/2023 and is going through the proper channels to add Room 11 to the facility license as a preschool classroom.
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This requirement was not met as evidenced by: LPA received staff disclosure that the facility used Room 11 (upstairs) as a preschool classroom since 2020 prior to having a Fire Clearance made through the Department. A $500 civil penalty was assessed. This is an immediate risk to children in care.
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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: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/25/2023 and conducted by Evaluator Warren Birks
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230525112059

FACILITY NAME:BARBARA AND RAY ALPERT JEWISH COMMUNITY CENTERFACILITY NUMBER:
191600443
ADMINISTRATOR:EMILY GOULDFACILITY TYPE:
850
ADDRESS:3801 EAST WILLOW AVENUETELEPHONE:
(562) 426-7601
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:210CENSUS: 74DATE:
07/06/2023
UNANNOUNCEDTIME BEGAN:
08:43 AM
MET WITH:Jamare HarrisTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility staff did not adequately supervise day care children.
Facility staff did not ensure that medications are locked.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced complaint inspection to deliver findings for the above allegations. LPA met with Education Coordinator Jamare Harris who provided assistance with the inspection.

During the course of the investigation, LPA conducted interviews with five staff and the Education Coordinator Jamare Harris. LPA also received information from Director Emily Gould and made observations of the room. where medicine is stored. LPA received no disclosures that the facility did not adequately supervise daycare children or that the facility staff did not ensure medications are locked. LPA also observed on two surprise inspections that medicines are stored in an inacessible room in lock boxes.
LPA received no other information that would help substaintiate the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, at this time the allegation is Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 54-CC-20230525112059
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BARBARA AND RAY ALPERT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 191600443
VISIT DATE: 07/06/2023
NARRATIVE
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The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. This report along with a copy of the appeal rights was provided. Exit interview was conducted with Education Coordinator Jamare Harris.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/25/2023 and conducted by Evaluator Warren Birks
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230525112059

FACILITY NAME:BARBARA AND RAY ALPERT JEWISH COMMUNITY CENTERFACILITY NUMBER:
191600443
ADMINISTRATOR:EMILY GOULDFACILITY TYPE:
850
ADDRESS:3801 EAST WILLOW AVENUETELEPHONE:
(562) 426-7601
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:210CENSUS: 74DATE:
07/06/2023
UNANNOUNCEDTIME BEGAN:
08:43 AM
MET WITH:Jamare HarrisTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility staff did not ensure that medications are properly managed
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced complaint inspection to deliver findings for the above allegations. LPA met with Education Coordinator Jamare Harris who provided assistance with the inspection.

During the investigation, at approximately 11:45am today, LPA observed medication stored in lock boxes in a locked medication room (located near the office). However, LPA also observed two medications that were not dated and had expired label dates of 4/2023 and 7/2021. The facility was cited for Health Related Services. Note: The facility discarded the expired medication during today's inspection. Based on observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. This report along with a copy of the appeal rights was provided. Exit interview was conducted with Education Coordinator Jamare Harris.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 54-CC-20230525112059
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BARBARA AND RAY ALPERT JEWISH COMMUNITY CENTER
FACILITY NUMBER: 191600443
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/06/2023
Section Cited
CCR
101226(e)(2)
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Health Related Services: (e) In centers where the licensee chooses to handle medications: (2) All prescription and nonprescription medications shall be maintained with the child's name and shall be dated.
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Director Emily Gould informed LPA over the phone that a monthly audit will be conducted along with a medicine log.
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This requirement was not met as evidenced by: LPA observed two medications that were not maintained with dates and had expired label dates of 4/2023 and 7/2021. This is a potential risk to children in care.
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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: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
LIC9099 (FAS) - (06/04)
Page: 7 of 7