<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700359
Report Date: 05/10/2022
Date Signed: 05/10/2022 05:28:21 PM


Document Has Been Signed on 05/10/2022 05:28 PM - It Cannot Be Edited

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: 8DATE:
05/10/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Devorah FradkinTIME COMPLETED:
01:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 5/10/22 at 11:25am Licensing Program Analyst (LPA) Patrick Ma conducted an unannounced case management inspection for infant outdoor play area inspection request received 3/29/22. During the visit there were 8 children in care and 3 staff members.  Facility was in ratio and capacity. 

Facility is currently licensed for 12 children in room ECC 5. Facility is requesting to use an outdoor play area recently fitted with new absorbent mats for infant use. Rubber Flooring Inc mats used model 3/8" Heavy Duty Rubber Rolls are suitable for children's playroom flooring by manufacturer's recommendations and meet Title 22 101238.2(e)(1) as they are cushioned with material that absorbs falls.
 
Infant outdoor area (cushioned) was measured to be a total of 350.86 sq. ft which is sufficient for only 4 children.  Infant program has a current waiver to share another playground with the toddler program. An approved capacity waiver will be required as the licensed capacity exceeds the measured capacity of the outdoor space. Upon approval of the waiver, use of the new play space is granted.

Exit interview conducted and report was reviewed with the facility representative Devorah Fradkin. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick MaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 05/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/10/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1