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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313628290
Report Date: 09/28/2026
Date Signed: 09/28/2026 03:23:09 PM

Document Has Been Signed on 09/28/2026 03:23 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:GAN YELADIM JEWISH PRESCHOOLFACILITY NUMBER:
313628290
ADMINISTRATOR/
DIRECTOR:		KORIK, MALKAFACILITY TYPE:
860
ADDRESS:4700 EAST ROSEVILLE PKWYTELEPHONE:
(916) 500-4522
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY: 52TOTAL ENROLLED CHILDREN: 22CENSUS: 9DATE:
09/28/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Isroel KorikTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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On September 28, 2026 at approximately 10:30 AM, Licensing Program Analyst (LPA), Josiah Gathing met with Licensee Representative (LR) Isroel Korik for an announced Pre-Licensing inspection. The purpose of today's inspection was to add an infant component and convert the facility to a single license. Applicant is requesting a license for 47 children: 7 Infants (ages 6 weeks to 24 months) in the Infant Room, 12 Toddlers (ages 18-36 months) in the Toddler Room, and 28 Preschool children (ages 2-5 years) in Preschool Rooms 1 and 2. Licensing originally received a request for 52 total children, but a new application was submitted during today's inspection for 47 total children due to limited indoor activity space. Areas of the facility not included in indoor activity space include the Main Hallway, Children's Restrooms, Infant Napping Area, and entire upstairs including the Office and two classrooms for separate registered private school program. Hours of operation are Monday to Friday 8:30am to 4:00pm.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed LR 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, LR stated that they will be stored in high cabinets in classrooms. Classrooms are equipped with first aid kits. LPA observed smoke detectors, fully charged fire extinguishers, and carbon monoxide detectors during today's inspection. All required licensing documents were observed posted near back door of the facility. Children will be signed in and out via electronic application.

LPA measured total indoor preschool activity space of 994.36 square feet which is sufficient to accommodate the requested capacity of 28 preschool children.


Cont. on LIC809-C...

Belinda Devall
Josiah Gathing
DATE: 09/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: GAN YELADIM JEWISH PRESCHOOL
FACILITY NUMBER: 313628290
VISIT DATE: 09/28/2026
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LPA measured total indoor toddler activity space 478.99 square feet which is sufficient to accommodate the requested capacity of 12 toddlers. The infant nap area was not separated from the indoor activity space according to regulation and LPA was unable to complete infant room measurements. LPA will conduct later inspection to complete infant room measurements.

LPA observed all indoor activity space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, cots, bookshelves, and other activity supplies for the children. Toys are safe with no sharp edges, splinters, or points, nor made of small parts that can present a choking hazard. Drinking water is available in the classrooms via children's containers provided by parents. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. The fire department provided an approved fire clearance form to Licensing on August 13, 2026. Due to limited indoor activity space, LPA submitted a new fire safety inspection request to the fire department on September 28, 2026 for reduced total capacity of 47.

There was no changing table in the infant room during today's inspection. LPA observed a changing table in the Toddler restroom. Changing table had at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table were at least 3” high. Diapering sink was within arm's reach of the changing table and will not be used for meal preparation or dishwashing. LPA observed 7 cribs in the napping area which meet regulatory requirements. Director stated that the crib area will be separated form activity space via movable barrier. LPA stated that the barrier must be at least four feet high, made of sound absorbing material, and designed to minimize risk of injury to infants. Sleep logs and Needs and Services plans will be recorded electronically.

The facility has a total of four toilets and seven sinks available to children. These are sufficient to accommodate the requested capacity of 47 children. There is a restroom with one sink and one toilet connected to the toddler room and an additional restroom with one toilet and one sink connected to Preschool Room 2. The additional two toilets are located in the women's restroom in the Main Hallway. LR stated that the two smaller stalls in the women's restroom will be reserved for exclusive use by preschool children. The large stall in the women's restroom will be reserved for exclusive use by adult staff. There are two sinks in the women's restroom. LR stated that the sink closest to the restroom door will be reserved for exclusive use by staff. There is a separate staff restroom for male staff.

The facility provides AM snack, lunch, and PM snack via delivery, distributed to classes daily.

Cont. on LIC809-C...

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Josiah Gathing
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: GAN YELADIM JEWISH PRESCHOOL
FACILITY NUMBER: 313628290
VISIT DATE: 09/28/2026
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The outdoor activity spaces were fully fenced. Fencing was at least four feet high in all areas. LPA measured outdoor toddler/preschool activity space of 2,710.25 square feet, which is sufficient to accommodate the requested capacity of 28 preschool children and 12 toddlers on alternating schedules. LR submitted a waiver request to allow preschoolers and toddlers to share outdoor activity space during today's inspection. LPA measured total outdoor infant activity space of 671.56 square feet, which is sufficient to accommodate the requested capacity of 7 infants.

There are sufficient outdoor toys and play equipment available on the playgrounds. LPA reminded LR to ensure that all play equipment and structures are only utilized by appropriate age groups. Drinking water is available outdoors via individual containers provided by parents. LPA observed large trees to provide shade in the outdoor activity spaces. There were sufficient wood chips beneath the play structure to provide padding.

LR was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

For child care 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).

LR 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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.

LR was 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.
Cont. on LIC809-C...

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Josiah Gathing
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: GAN YELADIM JEWISH PRESCHOOL
FACILITY NUMBER: 313628290
VISIT DATE: 09/28/2026
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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.

Exit interview conducted and report was reviewed with LR, Isroel Korik.

The following corrections are needed prior to issuance of the license:

-Updated Fire Clearance approval documentation from the Fire Department to confirm approved reduced capacity of 47 children.


-Waiver review and approval for shared toddler/preschool playground.
-Proof of a barrier separating infant nap area from activity space per regulation.
-Proof of changing table available for infants.
-Review and approval of documents requested by Licensing Program Analyst.
-Final review and approval by Licensing Program Manager.

LR understands that all proof of corrections must be provided to the department within 30 days, or the application may be denied.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Josiah Gathing
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026
LIC809 (FAS) - (06/04)
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