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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105036
Report Date: 11/23/2020
Date Signed: 11/23/2020 02:38:55 PM

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 HEBREW ACADEMY SUPPORT SCHOOL AGEFACILITY NUMBER:
376105036
ADMINISTRATOR:DEVORAH FRADKINFACILITY TYPE:
840
ADDRESS:10785 POMERADO ROADTELEPHONE:
(858) 566-1996
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:300CENSUS: 0DATE:
11/23/2020
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Josef and Devorah FradkinTIME COMPLETED:
02:00 PM
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On 11/23/20 at 2:30PM, Licensing Program Analyst (LPA) Samantha Salunga met with Josef and Devorah Fradkin. Josef Fradkin is listed as the Applicant, however, would like to assign his wife, Devorah Fradkin as the facility's applicant and director. Due to COVID-19 state of emergency, this meeting was completed via video conferencing (Zoom). The purpose of today's meeting is to review application documents and discuss what requirements are still pending to be submitted in order to continue the application process.

LPA Salunga reviewed entire application and observed that the following areas needed updating/correcting: application, parent handbook, employee handbook, in-service training, director packet, LIC610, personnel policies, and daily schedule. LPA discussed all areas in detail with Mr. and Mrs. Fradkin and both confirmed they will submit all discussed corrections to LPA no later than 12/07/2020.

A copy of this report was reviewed and will be e-mailed to Mr. and Mrs. Fradkin. LPA advised that a response to the email confirming receipt is to be received within twenty-four hours. This will act as their signature on today’s report.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2020
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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