376700823-12-20-2019-51-CC-JREG-BK2SMN-20191220130013

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700823
Report Date: 12/20/2019
Date Signed: 12/20/2019 01:00:21 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:	SAN DIEGO JEWISH ACADEMY PRESCHOOL		FACILITY NUMBER:	376700823
ADMINISTRATOR:	YAEL EDELSTEIN		FACILITY TYPE:	850
ADDRESS:	11860 CARMEL CREEK ROAD		TELEPHONE:	(858) 704-3700
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92130
CAPACITY:	100	CENSUS: 78	DATE:	12/20/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Director Yael Edelstein and Assistant Director Anita Ip		TIME COMPLETED:	01:10 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	Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a random annual inspection. During this visit, there were 78 children with 15 staff as follows: B101: 10 children with a teacher and an Aide; Room B104: 13 children with a teacher and an Aide; Room B201: 10 children with two teachers; Room B202: 10 children with two teachers; Room B203: 9 children with a teacher and an Aide; Room B204: 10 children with two teachers; Room B205: 7 children with one teacher, and Room B206: 9 children with two teachers. Facility is within ratio and capacity. Program operates Monday thru Thursdays from 7:30 a.m. to 5:30 p.m. Fridays the facility closes at 5 p.m. LPA toured the school. The furniture, books, games and toys are safe, age-appropriate and in good repair. Rooms were a comfortable temperature during this visit. No hazards were noted. Incidental Medications are kept in both the classroom and the office, inaccessible to children. Bathrooms and handwashing areas are in a safe, sanitary and operating condition. Children bring all their own food. All hazardous items are stored where they are inaccessible to children. The outdoor play areas are fenced and have enough cushioning under and around play structures and slides and have sufficient shade. There are operational water fountains outdoors. There is no evidence of rodent or insect activity. The carbon monoxide detectosr are operational. There are several staff present with a current CPR and First Aid certification. Sign in/out sheets were reviewed and are outside each classroom.. LPA observed appropriate supervision in and out of the classroom. A sample of children's records were reviewed for admission’s agreements and staff records for qualifications. SB 792 (staff immunizations) and AB 1207 (Mandated Reporter Training) requirements have been met. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com. Isolation area is the Director's office. Effects of Lead Exposure Handout provided for dissemination to parents/guardians. 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

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019

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: SAN DIEGO JEWISH ACADEMY PRESCHOOL	FACILITY NUMBER: 376700823
	VISIT DATE: 12/20/2019

NARRATIVE

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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. There is an approved IMS Plan on file and services were in place today.

During this visit, LPA followed up on a self-reported incident that occurred on 12/11/19 wherein a 4 year old child (Child #1) fell off a small retaining wall on the playground and fractured his elbow. LPA interviewed the Director who was the closest to the child and the first to respond, the Assistant Director who took over his care after the incident. and both Staff #1 and #2 who were on the playground at the time of the incident. There were 16 children present at the time. LPA also spoke with Child #1. Apparently, Child #1 was atop the retaining wall on his way to line up to head to the restroom and slipped, falling on his arm. Director had just turned to speak to Staff #1, who she was relieving, to get a count, when Child #1 fell. She and the Assistant Director who arrived just after, assessed him for range of motion. He had calmed, no swelling or injury was noted and Child #1 resumed regular play. After 15-20 minutes they returned to the classroom where the Assistant Director continued to monitor him. There was no evidence of injury and the child was picked up approximately 2 1/2 hours after the fall. The following day, Child #1's parents alerted the school that swelling was observed and Child #1 was favoring the arm. The doctor diagnosed a fractured elbow. Child #1 has since returned to the program.

Supervision was in place, ratios were met, the staff responded appropriately and the facility reported timely. No deficiencies are cited for this incident..

Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

No deficiencies are cited.
NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019

LIC809 (FAS) - (06/04)

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