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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494993
Report Date: 03/14/2022
Date Signed: 03/14/2022 08:57:07 AM

Document Has Been Signed on 03/14/2022 08:57 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:NOOK ON VALLEY CIRCLE AT SHOMREI TORAH SYNAGOG, THFACILITY NUMBER:
197494993
ADMINISTRATOR:JENNIFER PEARLMANFACILITY TYPE:
830
ADDRESS:7353 VALLEY CIRCLE BLVDTELEPHONE:
(818) 854-7650
CITY:WEST HILLSSTATE: CAZIP CODE:
91304
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/14/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Jennifer Pearlman and Eliza EnbomTIME COMPLETED:
09:05 AM
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On 03/14/2022 at 8:00 a.m. Licensing Program Analyst (LPA) Deborah Lowe met with site supervisors Jennifer Pearlman and Eliza Enbom. The purpose of the visit was a 2nd announce pre-licensing inspection at the facility to ensure that health, safety and personal rights as requires by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. There were no children present during this inspection. This is an application for 24 infants, ages 6 weeks to 24 months. The child care center will operate Monday – Friday 7:30 a.m. – 6:00 p.m. The fire clearance was approved on 02/14/2022.

The 1st pre-licensing visit was conducted on 02/24/2022. LPA Lowe is conducting a 2nd pre-licensing visit to remeasure the outdoor activity area and evaluate the facility corrections needed before a license application will be considered.

Outdoor Play measurements are:

Infant outdoor area is located behind rooms 11 & 12 on the North side of building. Remeasuring the outdoor play area due to changes made to the outdoor space since pre-licensing visit that occurred on 2/24/2022.

(30.33 x 27.25) = 826.49 + (25.33 x 10.42) = 263.94 + (26.75 x 11.75) = 314.31 + (30.33 x 34.05) = 1,032.74

Total outdoor activity space: 826.49 + 263.94 + 314.31 + 1,032.74 = 2,427.47 divided by 75 square feet = 32 infants.

LPA Lowe evaluated the following needed corrections:

  • Verify appropriate age usage of outdoor play structure – 3/14/2022 LPA observed the outdoor play structure to have been made inaccessible to infants with the use of a 4’ high black mesh fence surrounding play structure.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2022
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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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: NOOK ON VALLEY CIRCLE AT SHOMREI TORAH SYNAGOG, TH
FACILITY NUMBER: 197494993
VISIT DATE: 03/14/2022
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  • Arrange room #11 and #12 to ensure changing table is within arm’s distance of a sink – 3/14/2022 LPA observed handwashing sinks within arms distance of the changing tables in both room #11 and room #12.
  • Provide potty chairs for potty training infants – 3/14/2022 LPA observed 5 potty chairs available for potty training infants.
  • The gate outside of room #12 to outdoor play is in need of repair – 3/14/2022 LPA observed the walk through gate repaired and observed gate was able to securely close.
  • Secure green chain link fence covering in outdoor play area near sandbox – 3/14/2022 LPA observed green fence covering secured to chain link fence.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2022
LIC809 (FAS) - (06/04)
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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: NOOK ON VALLEY CIRCLE AT SHOMREI TORAH SYNAGOG, TH
FACILITY NUMBER: 197494993
VISIT DATE: 03/14/2022
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To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with applicants Jennifer Pearlman and Eliza Enbom.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2022
LIC809 (FAS) - (06/04)
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