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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700359
Report Date: 08/24/2021
Date Signed: 08/24/2021 01:12:37 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 - INFANTFACILITY NUMBER:
376700359
ADMINISTRATOR:DEVORAH FRADKINFACILITY TYPE:
830
ADDRESS:10785 POMERADO ROADTELEPHONE:
(858) 566-1996
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:12CENSUS: 0DATE:
08/24/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Devorah FradkinTIME COMPLETED:
01:30 PM
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On 8/24/21 Licensing Program Analysts Michael Morales-DeSilvestore and Patrick Ma made an unannounced case management visit to assess the outdoor safety for the infant program. During the visit there were no children present because the school was still closed for the summer.

Facility has a playground with a grounded play structure, for ages 2-5, behind the classroom available for use. Director reported the infant program is sharing the same outdoor area with the toddler component (under preschool license), however, there is no playground waiver on file. Facility will need to request a playground waiver to accommodate for infant use. In the meantime, teachers will ensure through supervision that no children under the age of 2 use the play structure.

The following corrections are needed: Playground waiver submitted by 8/3/21.

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.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
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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