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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105036
Report Date: 01/14/2021
Date Signed: 01/14/2021 04:03:04 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:CHA 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:
01/14/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Josef FradkinTIME COMPLETED:
11:30 AM
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On 01/14/2021 at 11am, Licensing Program Analyst (LPA) Samantha Salunga conducted an announced Pre-Licensing (follow-up) virtual inspection with Josef Fradkin and Devorah Fradkin (Applicant). Due to COVID-19 state of emergency, this inspection was completed via video conferencing (Zoom). Initial pre-licensing inspection was conducted on 12/20/2020, when LPA conducted an on site inspection to measure and inspect all indoor activity space. LPA observed the outdoor play space to be located in various areas within the campus, however, did not have a separate fence that surrounds each area, so no measurements were taken of the outdoor play space. After further review, it is confirmed that the facility is exempt from square footage of outdoor play space. LPA discussed with Mr. and Mrs. Fradkin that the facility shall implement a detailed supervision plan during outdoor play time to ensure that appropriate supervision is being provided to keep the children safe and away from hazardous areas within the campus (i.e. parking lot, construction area, and various tress/bushes behind the basketball court). Mr. and Mrs. Fradkin stated that they will create a plan and submit it to LPA to place in their file no later than 01/18/2021.

Facility is in compliance with Title 22 therefore, a license for 300 school age children (age 5-14 years old) is granted and effective today's date 01/14/2021.

Exit interview was conducted with Mr. & Mrs. Fradkin. A copy of this report was reviewed during inspection and will be e-mailed to Mr. & Mrs. Fradkin. They were advised that acknowledgement of the receipt of the report is to be received within twenty-four hours. This report shall be kept available at the facility for public review for 3 years.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2021
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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