376700823-11-20-2020-51-CC-GCUS-BVJQY6-20201120113437

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700823
Report Date: 11/20/2020
Date Signed: 11/20/2020 11:35:34 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:	SAN DIEGO JEWISH ACADEMY PRESCHOOL		FACILITY NUMBER:	376700823
ADMINISTRATOR:	YAEL EDELSTEIN		FACILITY TYPE:	850
ADDRESS:	11860 CARMEL CREEK ROAD		TELEPHONE:	(858) 704-3778
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92130
CAPACITY:	100	CENSUS: 59	DATE:	11/20/2020
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Yael Edelstein		TIME COMPLETED:	11:40 AM

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	Covid-19 State of Emergency On November 20, 2020 at 10:05 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced Case Management Inspection via Zoom in reference to two children who tested positive for COVID-19. LPA met with Director Yael Edelstein and proceeded to tour the facility. Present today were 59 children with 14 staff members. Appropriate ratios were observed. All staff members have the required background clearances and are associated to the facility. Child #1 was tested for Covid-19 on Saturday, October 31, 2020 and received the positive diagnosis on Monday, November 2, 2020. The child’s parent notified the facility the same day, November 2, 2020. Child #1 was last in the facility on Friday, October 30, 2020 and was part of a stable group of 11 children and two teachers. The entire class and their teachers were notified on November 2, 2020 that the classroom would be closed until further notice. Child #2 began exhibiting Covid-19 symptoms on Friday, October 30, 2020, was tested for Covid-19 on Tuesday, November 3, 2020 and received the positive diagnosis on Thursday, November 5, 2020. The facility was notified the same day, November 5, 2020. Child #2 was last in the facility on October 30, 2020. This child was part of the same stable group of 11 children and two teachers as Child #1. Ms. Edelstein states that the Department of Public Health, staff and all parents with children enrolled at the facility were notified of the Covid-19 exposure. This classroom was closed for two weeks beginning November 2, 2020 through November 15, 2020. While the classroom was closed it was disinfected and deep cleaned. The classroom reopened on Monday, November 16, 2020. All children and staff in this classroom were required to obtain a negative Covid-19 diagnosis before they could return to the facility on November 16, 2020.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2020

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: 11/20/2020

NARRATIVE

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No deficiencies are cited.

LPA emailed Covid-19 resources to the Director including links to the California Department of Public Health (CDPH), Local County Public Health Department, Center for Disease Control (CDC) and the California Department of Social Services (CDSS) webpage where Provider Information Notices (PIN’s) can be found.

An exit interview was conducted with the Director. Appeal Rights (1/16) were discussed. The facility was advised to post the Notice of Site Visit for 30 days and that failure to keep the posting will result in a $100 civil penalty. A copy of this report and appeal rights will be e-mailed to the facility and director was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2020

LIC809 (FAS) - (06/04)

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