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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600196
Report Date: 05/03/2019
Date Signed: 05/03/2019 10:27:18 AM

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:CHAI ALTMAN PRESCHOOLFACILITY NUMBER:
376600196
ADMINISTRATOR:REBECA GARCIAFACILITY TYPE:
850
ADDRESS:16934 CHABAD WAYTELEPHONE:
(858) 451-0455
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:56CENSUS: 32DATE:
05/03/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:36 AM
MET WITH:Rebeca GarciaTIME COMPLETED:
10:35 AM
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Licensing Program Analyst (LPA) Rajani Goudreau and Licensing Program Manager (LPM) Jason Garay conducted an unannounced case management inspection regarding an incident that occurred on the facility campus on 04/27/19. Upon arrival, LPA and LPM met with Director Rebeca Garcia and proceeded to tour the facility. During this inspection there were 32 children in care with 5 staff members in the Preschool. The facility is within licensed capacity and ratio limitations.

Director indicated the facility was closed beginning on 04/22/19 and resumed normal operation on 04/30/19. However, as a result of recent events an in-service meeting was conducted with staff on 04/29/19. At time of inspection a community outreach meeting with parents and staff was being conducted. Director was provided additional resources related to coping with grief and traumatic events. Director indicated resources provided by other agency’s will be reviewed to determine what services will be utilized.

No deficiencies were issued during today's inspection. LPA reviewed this report with Director and an exit interview was conducted. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019
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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