376700903-8-31-2021-51-CC-GCUS-C6ERUH-20210831131958

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700903
Report Date: 08/31/2021
Date Signed: 08/31/2021 01:20:08 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:	CHAI ALTMAN INFANT CENTER		FACILITY NUMBER:	376700903
ADMINISTRATOR:	SHTERNA GOLDSTEIN		FACILITY TYPE:	830
ADDRESS:	16934 CHABAD WAY		TELEPHONE:	(858) 451-0455
CITY:	POWAY	STATE: CA	ZIP CODE:	92064
CAPACITY:	27	CENSUS: 2	DATE:	08/31/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Shterna Goldstein		TIME COMPLETED:	01:30 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 8/31/21 at 10:35 a.m. Licensing Program Analyst (LPA) Leilani Curtis visited the facility to conduct an annual inspection. Upon arrival LPA met with Assistant Director Paulina Escamilla and proceeded to tour the facility. Also present were two children with staff members Shanna Tanner and Jasmin Paramo. Facility director Shterna Goldstein was also present at the time of inspection. Appropriate ratios and capacity were observed. There are no bodies of water or weapons at this facility. Toys are safe and do not have sharp points, edges or splinters, or made of small parts that can be pulled off. There is sufficient infant napping equipment. Infant changing tables have padded surface no less than one inch thick, covered with washable vinyl, and raised sides at least 3 inches high. There are no walkers, bouncy seats, exersaucers or jumpers in the room. All infants including those napping in cribs are under visual observation at all times. Rooms have adequate heating, lighting, and ventilation. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair. Room has two changing tables which are within the reach of sinks. Disinfectants, hazardous items and medications are inaccessible to children through latches and locks. The infant indoor and outdoor activity space is physically separate from the space used by other day care children. Outdoor play area is fenced with sufficient material for cushioning. Area has canopies used for shade. The infant room has a refrigerator used for infant food storage which is properly labeled by child name and date. There is an Individual Feeding and Needs and Services Plan which was reviewed. The facility does not maintain a sleeping log for the infants in care. Menus are posted. Drinking water is readily accessible inside and outside the classroom. This facility provides Incidental Medical Services – IMS. Currently there are no children attending who require these services. For IMS information see 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.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021

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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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: CHAI ALTMAN INFANT CENTER	FACILITY NUMBER: 376700903
	VISIT DATE: 08/31/2021

NARRATIVE

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Personnel records were reviewed for qualifications. Staff utilized as infant teachers have three child development units in infant/toddler care. All personnel have required criminal record and child abuse index clearances. Admission Agreement forms reviewed for some children. There is an operational carbon monoxide detector at the facility. Pediatric CPR/First Aid are current. Sign in/sign out sheets are well maintained. LPA reviewed the following with the director Safe Sleep Regulations PIN 20-24-CCP, Updated Coronavirus Industry Guidance PIN 21-18-CCP and IMS plan. LPA obtained updated parent handbook, LIC 308 (Designation of Facility Responsibility, LIC 610 (Emergency Disaster Plan), LIC 500 (Personnel Report) and IMS Plan. The director will provide LPA with an updated LIC 309 (Administrative Organization).

Please see LIC809D for cited deficiency

Facility representatives were advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248. LPA also discussed California Megan's Law and LPA provided Director with the following website: www.meganslaw.ca.gov

An exit interview was conducted with the Director Goldstein and Appeal Rights (LIC 9058 1/16) were discussed. 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 Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021

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: CHAI ALTMAN INFANT CENTER	FACILITY NUMBER: 376700903
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/31/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/14/2021 Section Cited	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision for Infants: (a)In addition to Section 101229, the following shall apply:(2)Sleeping infant(s) shall be directly observed by sight and sound at all times.(C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:3 Time of each 15 minute check. This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on LPA's record review the two infant's present did not have sleep documentation in their files available for review. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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 Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021

LIC809 (FAS) - (06/04)

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