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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413851
Report Date: 03/16/2023
Date Signed: 03/16/2023 06:31:00 PM

Document Has Been Signed on 03/16/2023 06:31 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:GAN ISRAEL PRESCHOOLFACILITY NUMBER:
197413851
ADMINISTRATOR:RABINOWITZ, RIVKAFACILITY TYPE:
850
ADDRESS:1341 9TH STTELEPHONE:
(310) 394-3200
CITY:SANTA MONICASTATE: CAZIP CODE:
90401
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 32DATE:
03/16/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Rivka RabinowitzTIME COMPLETED:
03:00 PM
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On 3/16/2023, Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced case management visit. LPA Laureano was greeted by Rivka Rabinowitz, facility director. LPA toured the facility indoors and outdoors and a census was taken.

12 children and 2 staff members- outside in the play yard.
20 children and 4 staff members- napping in the classrooms.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

Community Care Licensing was notified that lead water testing conducted at the facility on 2/6/2023 exceeded allowable limit for lead. Samples testing over 5.5 ppb/ug L and above is considered an exceedance. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE) and conduct an inspection.

LPA Laureano received notification that LEAD water testing has been completed in the facility and received the following documents: LIC 9275, LIC 9276, Facility Sketch (water faucets/outlets identified) and test results. LPA Laureano took pictures of faucets/ outlets.

The facility has been identified to have 1 water faucet/outlet “j” with an Action Level Exceedance (ALE) in the amount of lead in water being 5.5pb, or greater. LPA Laureano confirmed with Director, Rivka, the following outlet/faucet "j" was identified as exceedance of lead and shall remain inaccessible to the children in care.

LPA Laureano observed water outlet/faucet “j” identified with an Action Level Exceedance to be made inaccessible to the children in care. LPA observed area to be taped off with water fountain blocked off. LPA interviewed Director and staff to ensure children do not have access to the identified sink/outlet that has been identified as exceedance of lead.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GAN ISRAEL PRESCHOOL
FACILITY NUMBER: 197413851
VISIT DATE: 03/16/2023
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Children have access to water via filter water bubblers/fountain located in the classrooms and when outdoors children take their refillable water bottle. LPA observed children with their refillable water bottles while outside and inside.

Based on observation, interviews and sampling records it has been determined that there was a violation of Licensing Regulation Title Division 12, Chapter 1, Subchapter 5 – California Lead Action Level at Child Care Centers 101700.3(b)(1), “A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance”. Lead water testing samples taken on 2/6/2023 revealed that levels of lead were beyond allowable amount deemed by the State of California. This facility is being cited (1) deficiency during today’s visit 03/16/2023. This is a type B violation which poses a potential Health, Safety or Personal Rights risk to persons in care. In Accordance with California Code of Regulations. Refer to LIC 809-D.

LPA discussed Proof of Correction (POC) with Director. All faucets identified with an Action Lead Exceedance of 5.5 ppb or over have been made inaccessible to the children in care. The outlet will not be accessible for use until repairs are completed and a retest has occurred. A notification of letter was drafted by facility and will be sent out to parents with notification of cease of water outlets and remediation for planned for water outlets or alternative. Facility will send LPA a copy of the letter via email by 3/24/2023. Facility will work on scheduling for a second test of identified outlet when repairs are completed. Director will LPA a copy of the re-test summary once completed.

Instructions for required lead testing are outlined in PIN 21-21. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in a parts per billion (ppb) unit of measurement.

For more information, go to the California Childhood. Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb or call them at (510) 620-5600. Please see Provider Information Notice (PIN) 20-01-CCP for more information about lead toxicity prevention

Facility director, Rivka Rabinowitz, received Notice of Site Visit and copy of this report.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
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Document Has Been Signed on 03/16/2023 06:31 PM - It Cannot Be Edited


Created By: Judy Laureano On 03/16/2023 at 02:15 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GAN ISRAEL PRESCHOOL
FACILITY NUMBER: 197413851

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
03/16/2023
Section Cited
CCR
101.700.3(b)(1)

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California Lead Action Level at Child Care Care Center
101700.3(b)(1), A result with values of 5.5 ppb or greater shall be deemed an ActionLevel Exceedance
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Facility has made outlet "J", identified with an Action Lead Exceedance of 5.5 ppb or over inaccessible until a retest has occurred. Director will email LPA a copy of parent notification letter via email by 3/24/2023. Director will send LPA a copy of schedule repairs and re-test summary.
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Based on interviews, and review of lead water testing samples taken on 2/6/2023 revealed that levels of lead were beyond allowable amount deemed by the State of California- 5 water outlets (j).This poses a potential health and safety 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.
SUPERVISOR'S NAME:Claudia Escobedo
LICENSING EVALUATOR NAME:Judy Laureano
LICENSING EVALUATOR SIGNATURE:
DATE: 03/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/16/2023


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