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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105086
Report Date: 08/26/2025
Date Signed: 08/26/2025 02:36:31 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/10/2025 and conducted by Evaluator Renita Rodriguez
COMPLAINT CONTROL NUMBER: 51-CC-20250610093050
FACILITY NAME:CHAI PRESCHOOL & INFANT CENTERFACILITY NUMBER:
376105086
ADMINISTRATOR:SHTERNA GOLDSTEINFACILITY TYPE:
850
ADDRESS:16934 CHABAD WAYTELEPHONE:
(858) 451-0455
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:56CENSUS: 9DATE:
08/26/2025
UNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Stassia HouseTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Staff did not ensure the surface of the outside area was free from hazards/in a safe condition.
INVESTIGATION FINDINGS:
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On 8/26/25 at 1:01 p.m., LPA Renita Rodriguez made an unannounced visit, for the complaint received on 6/10/25, regarding the above allegation to continue the investigation and deliver findings. LPA met with Director Stassia House. LPA observed ratios: 9 children with 2 staff.

During this visit LPA toured the facility, conducted interviews and reviewed records. It was alleged "Staff did not ensure the surface of the outside area was free from hazards/in a safe condition". Director states on 4/8/25 a child C1 fell while running on rubber flooring in an outdoor playground. Child C1 hit forehead and knee on an area of the rubber ground causing for injury of scrapes. On 5/29/25 child C2 was said to be running when the child fell causing for injury to occur to the forehead after hitting the rubber ground. The fall was reportedly caused by the child catching their own foot a misstep or moment of imbalance.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 51-CC-20250610093050
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CHAI PRESCHOOL & INFANT CENTER
FACILITY NUMBER: 376105086
VISIT DATE: 08/26/2025
NARRATIVE
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 THIS IS AN AMENDED REPORT DELIVERED 10/17/25.

There is a cement walkway at the entrance of the playground. Director states there was a sensory table causing a collection of sand on a cemented area in the play area. The sand made the surface very slippery. The play structure known as a sensory table that was collecting the sand has been removed from the facility. The children in both incidents experienced scrapes and cuts. Immediate care was given. LPA observed sand and holes on the rubber flooring on the playground during inspections completed 6/17/25 and 8/26/25. LPA observed multiple holes. The holes are a tripping hazard. Director states sand was also being placed in the holes in the rubber flooring of the playground area, as an attempt to keep the holes from being a hazard. This action contributed to sand accumulating on the rubber flooring, exacerbating the hazardous conditions thereby increasing the risk for injury. LPA found the sand on the cement and rubber flooring to be slippery.

The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be Substantiated. California Code of Regulations, (Title 22, Division 12, Chapter 1) the deficiency is being cited on the attached LIC 9099D. The Notice of Site Visit was provided, and LPA observed posting. Director is advised must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Stassia House. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20250610093050
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CHAI PRESCHOOL & INFANT CENTER
FACILITY NUMBER: 376105086
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/08/2025
Section Cited
CCR
101238.2(d)(1)
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101238.2 Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned.

This requirement is not met as evidenced by:
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Director removed the sensory table. Director states as of 8/27/25 the facility started to clean the playground area for the sand to continue to be removed weekly and for upkeep of the outside play area. A hired cleaning crew is currently cleaning the facility once a month.
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Based on observations, interviews and record
review, the facility did not ensure the surface of the playground area was free of hazardous debris which posed a potential Health, Safety or Personal Rights risks to persons in care.
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The facility stopped placing sand in the holes. Director states will provide the LPA with the new maintenance crew schedule and proof of purchase and work order showing that the holes and hardened areas have been patched and/or replaced by 10/31/25. THIS IS AN AMENDED REPORT DELIVERED 10/17/25.
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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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3