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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600267
Report Date: 08/24/2021
Date Signed: 08/24/2021 01:25:27 PM

Document Has Been Signed on 08/24/2021 01:25 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CHABAD PRESCHOOLFACILITY NUMBER:
376600267
ADMINISTRATOR:DEVORAH FRADKINFACILITY TYPE:
850
ADDRESS:10785 POMERADO ROADTELEPHONE:
(858) 566-1996
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY: 118TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/24/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Devorah FradkinTIME COMPLETED:
12:00 PM
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On 8/24/21 Licensing Program Analysts Michael Morales-DeSilvestore and Patrick Ma made an unannounced case management visit for the toddler component room change. Toddler component is dividing room P6 into rooms P6 and P7. A request for room change was received on 6/25/21. Fire clearance for 10 children in P6 and 10 children in P7 was granted on 8/19/21. During the visit there were no children present because the school was still closed for the summer. Facility is not requesting a capacity increase, only occupancy approval to use rooms P6 and P7, with 10 children maximum in each classroom.

LPA's inspected and measured room P6 to be 380.99 sq.ft. and P7 to be 330.63 sq. ft. for a total square footage of 711.62, sufficient for 20 children. Facility has a bathroom with 4 toilets and 2 sinks with a bathroom capacity for 30 children. Preschool children and toddler children must be kept separate at all times, including the bathroom, and children must be supervised at all times while maintaining ratios. There were sufficient age appropriate furnishings, toys, books and games available and no hazards were noted.

Facility has a playground with a grounded play structure behind the classroom available for use. Playground measured 1553.176 square feet which is sufficient for 20 children. The structure on playground is for ages 2-5 based on manufacturers guidelines. Play structure will need to be made inaccessible for children under 2. In the meantime, teachers will ensure through supervision that no infants or toddlers under the age of 2 use the play structure.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestore
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2021
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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CHABAD PRESCHOOL
FACILITY NUMBER: 376600267
VISIT DATE: 08/24/2021
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Based on fire clearance the increase would be for 20 children in rooms P6 and P7.
Occupancy approval was granted for rooms P6 & P7. Facility room change will be granted effective today 8/24/21.

Facility will need to submit a waiver request detailing how they will separate the children under the age of 2 from using the play structure by 9/3/21.

Facility was provided the report/appeal rights and notice of site visit. Notice of site visit must be posted for 30 days. Signature confirms receipt of these documents.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestore
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021
LIC809 (FAS) - (06/04)
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