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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700823
Report Date: 10/18/2021
Date Signed: 10/18/2021 04:44:01 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 PRESCHOOLFACILITY NUMBER:
376700823
ADMINISTRATOR:YAEL EDELSTEINFACILITY TYPE:
850
ADDRESS:11860 CARMEL CREEK ROADTELEPHONE:
(858) 704-3866
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY:100CENSUS: 73DATE:
10/18/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Yael EdelsteinTIME COMPLETED:
04:50 PM
NARRATIVE
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On October 18, 2021 at 2:10 p.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an announced case management inspection in reference to the Licensee’s request for an increase in capacity. Upon arrival LPA met with Director Yael Edelstein and proceeded to tour the facility. There were 73 children with 19 staff members present. Appropriate ratios were observed. Three staff members S1, S2 and S3 are fingerprint cleared but not associated to the facility. The director states that S1 has worked at the facility full time since August of 2020, S2 is a substitute with Child Care Careers and today is her first day working at the facility and S3 is also a substitute staff member from Child Care Careers who has worked at the facility seven times during the month of September and is working on site today, 10/18/21.

The facility is currently licensed for a capacity of 100 children. The Licensee requests to increase capacity to 120 children ages 2-5 years old. The following classrooms were previously measured as follows:

B101: 914 sq. ft. of indoor space.
B104: 892 sq. ft. of indoor space.
B201: 914 sq. ft. of indoor space.
B202: 914 sq. ft. of indoor space.
B203: 990 sq. ft. of indoor space.
B204: 870 sq. ft. of indoor space.
B205: 990 sq. ft. of indoor space.
B206: 846 sq. ft. of indoor space.

The total preschool indoor space is 7,330 sq. ft. and will accommodate 209 preschool children. The outdoor play space was measured and is 9,985 sq. ft. and will accommodate 133 children. A fire clearance for a capacity of 120 children was granted on 9/29/21.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2021
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 3
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: 10/18/2021
NARRATIVE
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See LIC809D for cited deficiencies. A civil penalty of $1,100.00 has been assessed.

A new license with a capacity of 120 children will be sent for posting.

An exit interview was conducted with the director and appeal rights (LIC 9058 1/16) were discussed. A copy of this report as well as a copy of the appeal rights were given to the director at the conclusion of the inspection. The director’s signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post notice of site visit.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/19/2021
Section Cited

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Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2)Request a transfer of a criminal record clearance as specified in Section 101170(f)... This requirement was not met as evidenced by:
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Based on LPA's record review the licensee did not request a criminal record clearance transfer for employees S1, S2 and S3. This poses a potential health and safety risk to children in care.
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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: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 10/18/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/18/2021
LIC809 (FAS) - (06/04)
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