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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270166
Report Date: 11/07/2024
Date Signed: 11/07/2024 12:38:29 PM

Document Has Been Signed on 11/07/2024 12:38 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CONGREGATION B'NAI ISRAEL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
304270166
ADMINISTRATOR/
DIRECTOR:		ALKIN, SHARONFACILITY TYPE:
830
ADDRESS:2111 BRYAN AVENUETELEPHONE:
(714) 730-0860
CITY:TUSTINSTATE: CAZIP CODE:
92782
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 16DATE:
11/07/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Director-Sharon AlkinTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 11/07/2025 at 9:10AM, Licensing Program Analyst (LPA), Navar conducted an onsite inspection for the purpose of a 3-Year Inspection. LPA and Director Sharon Alkin toured the facility inside and outside. The floor and yard plan were verified. Census was taken in each individual classroom. LPA observed a total of 16 Infant with 6 staff.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance with staffing ratios. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Facility hours are Monday through Thursday 7:30AM-5:30PM and Fridays 7:30AM to 5 PM. Sign in/out procedure was reviewed for compliance. The person who signs the child in and out uses their full legal signature and records the time of the day.

During the inspection of the indoor activity space, LPA did not observe any items which could pose a danger to children (poisons, detergents, cleaning compounds, medications, or hazardous items). The director stated that there are no firearms and/or other dangerous weapons in the facility; none were observed during the inspection. The facility provides age-appropriate toys, play equipment, and materials for children being served. There is filtered drinking water available indoors for children in care through the means of a Britta Pitcher. Cups/ Bottles are labeled with children’s names. Children also have the option to bring their water bottles from home. The children’s bathrooms are clean and sanitary. Infant/Toddlers nap on cots/cribs if they choose to sleep, and bedding is stored individually and is taken home weekly to be washed by parents. Facility has extra sheets and blankets if needed.
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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CONGREGATION B'NAI ISRAEL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 304270166
VISIT DATE: 11/07/2024
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Food is prepared on site and AM/PM snacks are provided. The food prep area was observed to be clean and sanitary. Food is properly stored. Children bring lunches from home. Menus were posted where they could be reviewed by parents. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges.

The facility has conducted an emergency drill within the past six months, last conducted on 10/22/2024. The facility has a working carbon monoxide detector and fire alarm. Facility met all posting requirements. The California Child Passenger Safety Law was posted by the entrance of the facility.

The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The cushioning material sand and artificial grass appeared to be enough to absorbs falls. Drinking water in the outdoor activity space is provided by children’s cups and is refilled if needed by the means of a Britta Pitcher. Each cup is labeled with child’s name. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility. The facility grounds were safe, sanitary and in good repair.

LPA reviewed LIC125 Entrance Check List with director, documents to be posted, documents to be reviewed, personnel records, and child’s records.



7 staff files were reviewed for staff present during the facility inspection this date; Health screening and immunization's as required were reviewed. Beginning September 1, 2016, Health, and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a childcare center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis and measles for all staff were reviewed and within compliance.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CONGREGATION B'NAI ISRAEL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 304270166
VISIT DATE: 11/07/2024
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Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete Mandated Reporting Training, and to renew the training every two years. All 7 staff had Mandated Reporter Training completed and none were expired. Staff present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires 7/2025.

5 Children's records were reviewed, and there was a separate, complete, and current record for each child. Files were reviewed for documentation of the child’s name, address, and telephone number of the child’s authorized representative and of relatives or others that can assume responsibility for the child if the authorized representative cannot be reached, when necessary (LIC 700), Physicians Report (LIC701), Consent for Medical Treatment (LIC627), Admission Agreement, Personal Rights (LIC613A), Notification of Parents Rights (LIC995), and Immunization Records. In the areas reviewed the children’s files were found to be in full compliance.



LPA observed 15-minute sleep checks for infants in care. LPA reviewed LIC9227 in infant files and staff stated they use LIC9227 form for infants 12 months and younger. In the areas reviewed the children’s files were found to be in full compliance.

LPA verified CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: 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). LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21- 21.1-CCP.

LPA discussed the safe sleep regulations with director 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.


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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CONGREGATION B'NAI ISRAEL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 304270166
VISIT DATE: 11/07/2024
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LPA also informed director 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.

Director stated they do provide Incidental Medical Services to children and that there are no children enrolled at this time who has medical services. For IMS information see PIN 22-02-CCP. 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 are available at: https://www.ada.gov/resources/child-care-centers/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Director was reminded that all adults 18 and over, 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.

LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care- licensing/caregiver-background-check/guardian



In the areas that were evaluated, no deficiencies were observed in the California Code of Regulations, Title 22, Division 12 at the time of the visit.

Exit interview conducted and report was reviewed with Director Sharon Alkin. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with postal requirements shall result in an immediate civil penalty of $100.


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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CONGREGATION B'NAI ISRAEL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 304270166
VISIT DATE: 11/07/2024
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Appeal Rights discussed. The Director was provided with a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

To improve the quality and value of the new inspection process, a survey may be sent
to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC809 (FAS) - (06/04)
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