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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600443
Report Date: 09/14/2023
Date Signed: 09/14/2023 04:02:25 PM

Document Has Been Signed on 09/14/2023 04:02 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
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: 210TOTAL ENROLLED CHILDREN: 210CENSUS: 21DATE:
09/14/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Emily GouldTIME COMPLETED:
04:15 PM
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Licensing Program Analyst Warren Birks conducted a Case Management inspection to provide technical assistance measuring and observing the operative plan for one classroom upstairs. LPA met with Director Emily Gould who provided LPA with a tour of the facility.

LPA conducted informal measurements with encumbered space (fridge and sink) removed to get an idea of space and capacity. LPA informed Director Gould that the overall capacity may be reduced due to the two preschool classrooms changing location inside the facility. LPA also informed Director that today's inspection is an assumption based on current observations. It is possible that the room capacity numbers may change (up or down) depending on how things are set up.

Note: The final capacity will based on actual measurements conducted.

Exit interview was conducted with Director Gould. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as will result in a $100 civil penalty.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2023
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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