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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600196
Report Date: 12/05/2019
Date Signed: 12/05/2019 10:14:25 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: 17DATE:
12/05/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:05 AM
MET WITH:Rebeca GarciaTIME COMPLETED:
10:30 AM
NARRATIVE
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LPA Nancy Diaz conducted an unannounced annual site inspection today. LPA met and toured the facility with Rebeca Garcia, Site Director. All required notices, forms and license were posted in an area visible to the parents or authorized person. There were 17 preschool children observed in the play area with 5 teachers.
There were no bodies of water observed present within the premises. All children are under supervision, including visual observation, of a teacher at all times. There is a ratio of one teacher supervising no more than 12 children in attendance. Medications are in a safe place inaccessible to children. Furniture and playground equipment are kept in good condition, free of sharp, loose or pointed parts. All toilets and handwashing facilities are safe and working in sanitary conditions. Uncontaminated drinking water is available both indoors and out.
The areas under high climbing equipment, slides have sufficient cushioning material to absorb falls.
Licensee operates the facility within the conditions, limitations and capacity specified on the license. Staff records contain appropriate documentation of education credits. At least one person trained in CPR and Pediatric First Aid is present. The person who signs the child in/out uses their full legal signature and records the time of day. Child’s admission agreement is available for review. Child is signed in/out by the person responsible for the child.
A handout was provided to the director today on “Effects of Lead Exposure”. Director shall provide a copy of this handout to all the daycare parents.

A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances.

CONTINUED
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019
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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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: CHAI ALTMAN PRESCHOOL
FACILITY NUMBER: 376600196
VISIT DATE: 12/05/2019
NARRATIVE
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The following handouts were provided to the Site Director today:

- PIN 19-10-CCP – U.S. Consumer Product Safety Commission recall
- PIN 19-09-CCP – Head Lice Information for Child Care Providers
- Health & Human Services Agency Guidance on Head Lice Prevention and Control
- PIN 19-08-CCP – CA Department of Public Health New Pre-Kindergarten Immunization requirements
- PIN 19-06-CCP – U.S. Consumer Product Safety Commission recall
- PIN 19-02-CCP – Safe Sleep Awareness Campaign

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on Child Care, go under Quick Links and Quarterly updates, click on “Receive Important Updates” then enter your email address and choose which program(s) you would like to subscribe to and click “subscribe”.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.



TYPE B DEFICIENCIES WERE CITED TODAY. Type B deficiencies if not corrected poses a potential hazard to the health, safety and personal rights of children in care.

CONTINUED
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: CHAI ALTMAN PRESCHOOL
FACILITY NUMBER: 376600196
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/16/2019
Section Cited

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To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement was not met as evidenced by LPAs observation. A gallon of "Chlorox" were found in unlatched cabinets in Rooms MM1, BB and MM2.
Type B
12/16/2019
Section Cited

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This Health & Safety Code requires that each Child Care Facility maintain a roster of children who are provided care at the facility. The roster shall include child's name, address, names and phone numbers of parent(s) and name and phone number of child's physician.
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This requirement was not met as evidenced by LPAs review of facility records. Childrens' roster currently maintained did not have complete information.
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Type B
12/16/2019
Section Cited

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 Effective September 1, 2016, a person may not be employed or volunteer at a child care center unless he or she has been immunized against influenza, pertussis, and measles.
This requirement was not met as evidenced by LPAs review of staff records. Staff Nandita Roy, Raschelle Workman and Rebeca Garcia are missing proof of being immunized against Measles.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: CHAI ALTMAN PRESCHOOL
FACILITY NUMBER: 376600196
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/16/2019
Section Cited

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H & S Section 1596.8662 create requirements for mandated child abuse reporter training. Applicants, licensees, and facility employee may meet this requirement free of cost by accessing the online training module provided on the Department of Social Services, Mandated Reporter Training Website: www.mandatedreporterca.com (effective 1/1/2018).
This requirement was not met as evidenced by LPAs review of staff records. Staff were missing proof of
"Mandated Reporter" training - Krista De Vera, Genevive Lazaga and Raschelle Workman.
Type B
01/15/2020
Section Cited

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The surface of the outdoor activity space shall be maintained free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.
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This requirement was not met as evidenced by LPAs observation. LPA observed several holes on the surface of the play ground that poses a tripping hazard.
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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.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4