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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021939
Report Date: 11/26/2025
Date Signed: 11/26/2025 01:17:07 PM

Document Has Been Signed on 11/26/2025 01:17 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOLFACILITY NUMBER:
198021939
ADMINISTRATOR/
DIRECTOR:
CARINA HUFACILITY TYPE:
860
ADDRESS:450 N GARFIELD AVETELEPHONE:
(310) 428-8991
CITY:PASADENASTATE: CAZIP CODE:
91101
CAPACITY: 90TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
11/26/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Emily MonroyTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 11/26/2025 at 10:30 AM, Licensing Program Analyst (LPA), Crystal Green conducted an announced Pre-Licensing inspection for a change of location request. Upon arrival, LPA met with Applicant Representative, Emily Monroy. Also in attendance via FaceTime was Applicant Representative, Carina Hu. The Applicant, B’ Nai Simcha Jewish Community Preschool, has requested to relocate from their existing licensed location- (198021675) 132 N. Euclid Ave., Pasadena, CA 91101- to the above location. The Applicant is requesting to be licensed for (90) children: (20) Infants from ages 0-24 months in Infant Room 1, 2, and Nap Room, (18) Toddlers from ages 18 to 36 months in the Toddler Room, (40) Preschoolers from ages 2 to 5 years old in Preschool Room 1 and 2, and (12) School- age children from ages 5 and above in the School Age Room. Hours of operation will be Monday to Friday from 6:00 AM to 6:30 PM.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Emily Monroy that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Emily Monroy stated that they will be in a higher cabinet located within the kitchen. A fully equipped first aid kit is located in within each classroom. There is an operational carbon monoxide detector on site located throughout the premises. All required licensing documents were observed posted on the inside of the entrance door. Children will be signed in and out at the front lobby area of the facility using the Playground Application. Parents will escort their child to their designated classroom.
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/26/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOL
FACILITY NUMBER: 198021939
VISIT DATE: 11/26/2025
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LPA continued to tour the facility and measured all indoor and outdoor activity space. Total infant indoor activity space measured 878.41 square feet, which is sufficient to accommodate the requested capacity of (20) infant children. Total toddler indoor activity space measured 487.87 square feet, which can only accommodate the (14) toddler children. Total preschool indoor activity space measured 1097.38 square feet, which can only accommodate the (31) preschool children. Total school age indoor activity space measured 454.69 square feet, which is sufficient to accommodate the requested capacity of (12) school age children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, cribs, napping cots, bookshelves, and other activity supplies for the children. Drinking water will be available in the classrooms via filtered water dispensers. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 11/21/2025 by the Pasadena Fire Department.

Infant Program: Feeding chairs and tables have broad-based legs, plastic seats are in good repair and trays lock onto chairs. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. Cribs meet regulatory requirements. Crib area is separated from activity space via located in a separate adjacent room. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. LPA observed 6 cribs located in the crib area. Sleep logs are kept in the crib area. Needs and Services Plans and Sleep Plans are kept in Infant classroom.

LPA observed the infant children to have a total of (3) sinks, (2) toilets, and (2) changing tables which were observed to be within arm’s reach and 1 sink located in Infant Room 2 will be used as a dishwashing sink. The toddler children were observed to have access to a total of (4) sinks and (2) toilets. The preschool children were observed to have access to a total of (7) sinks and (4) toilets. The school- age children were observed to have (1) sink and (1) toilet. LPA observed the designated school age restroom to have individual stall to afford privacy for the school-age children. These are sufficient to accommodate the requested capacity of children. There is a separate staff restroom equipped with a toilet and a sink located accessible from the infant room. The isolation area for children who are ill will be the director’s office and ill children will utilize the staff restroom.
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2025
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOL
FACILITY NUMBER: 198021939
VISIT DATE: 11/26/2025
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Facility will provide Breakfast, Lunch, AM/ PM snacks. The kitchen area currently includes commercial stove, 2 refrigerators, 2 sinks, commercial dishwasher, and a food prep counter. The kitchen area and food storage areas were observed free of rodents and/or vermin. Hazardous items in kitchen are inaccessible to children via behind locked kitchen door.

The facility currently has 3 fully fenced playground areas designated for the Infant, Toddler, and Preschool program. Fencing is made of concrete walls at least four feet high. The total square footage for the infant outdoor activity space is 1525.35 square feet, which is sufficient to accommodate the infant requested capacity. The total square footage for the toddler outdoor activity space is 2249.19 square feet, which is sufficient to accommodate the toddler requested capacity. The total square footage for the preschool outdoor activity space is 5,052.84 square feet, which is sufficient to accommodate the preschool’s requested capacity. The school age program currently does not have a separate playground. A playground waiver to share the playground at different times in the AM and PM due to the school age program not having its own separate yard shall be submitted and approved. Shade is provided via fixed shade structure, shade trees, and canopies. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on the preschool playground for children aged 2 to 5 years old which is properly anchored. There is adequate cushioning in fall zones of climbers provided by sand. Drinking water is available via filtered water jug. LPA observed all hazardous items on the playground to be inaccessible to children. Applicant, Emily Monroy, was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2025
LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOL
FACILITY NUMBER: 198021939
VISIT DATE: 11/26/2025
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Criminal Record Clearance:
Applicant representative 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed the safe sleep regulations with Applicant Representatives 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 representative 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.

Applicants were informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2025
LIC809 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: B'NAI SIMCHA JEWISH COMMUNITY PRESCHOOL
FACILITY NUMBER: 198021939
VISIT DATE: 11/26/2025
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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 platforms. 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.

During this inspection, LPA explained to the Applicant Representative, Emily Monroy, the information needed to be submitted to request a waiver allowing the school age program to share use of the preschool yard. Once the waiver is received it will be reviewed by the Regional Office for final approval. The Applicant Representative understands that the facility may be issued a provisional license while the waiver request is under review and pending final approval by the Regional Office. A Provisional License will be issued for (77) children: (20) Infants from ages 0-24 months in Infant Room 1, 2, and Nap Room, (14) Toddlers from ages 18 to 36 months in the Toddler Room, (31) Preschoolers from ages 2 to 5 years old in Preschool Room 1 and 2, and (12) School- age children from ages 5 and above in the School Age Room.

Exit interview conducted and report was reviewed with the Applicant Representative, Emily Monroy.
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2025
LIC809 (FAS) - (06/04)
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