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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701134
Report Date: 12/16/2021
Date Signed: 12/16/2021 02:33:30 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:SILVERMAN GINSBURG INFANT CENTERFACILITY NUMBER:
376701134
ADMINISTRATOR:AMY STANLEYFACILITY TYPE:
830
ADDRESS:6660 COWLES MOUNTAIN BOULEVARDTELEPHONE:
(619) 697-1948
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY:40CENSUS: 17DATE:
12/16/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Jennifer LowTIME COMPLETED:
11:00 AM
NARRATIVE
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On 12/16/21 @ 10:00AM, Licensing Program Analysts (LPAs) Nancy Diaz and Tyra Block conducted an unannounced case management inspection. Met and toured the classrooms with acting director Jennifer Low. Also present during this inspection was Jamie Nadel, Executive Director of Synagogue. Observed present today were 17 infants in the following classrooms:

Room #7 with 6 infants and staff Rosie Torreblanca, Maria Guerrero & Abigail Hernandez
Room #6 with 5 infants and staff Eliza Rodriguez & Kristina Angeles
Room #5 with 2 infants and staff Katie Edwards
Room #4 with 4 infants and staff Salena Kun & Sinia Fruge.

LPA Nancy Diaz reviewed all staff files.

Type A deficiencywas cited today. Civil penalty was also assessed.
Type A deficiency if not corrected will have a direct and immediate risk to the health, safety or personal rights of children in care.

An exit interview was conducted with Jennifer Low. Appeal rights were discussed a copy provided. Notice of site visit was observed posted. This notice shall remain posted for 30 days.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021
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: SILVERMAN GINSBURG INFANT CENTER
FACILITY NUMBER: 376701134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/16/2021
Section Cited

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CRIMINAL RECORD CLEARANCE. 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: (1) Obtain a California clearance or a criminal record exemption as required by the Department.
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This requirement was not met as evidenced by: Based on file review and observation by staff Tyra Block on 10/20/21, staff Abigail Hernandez was present in Room #7. Abigail Hernandez did not have a fingerprint clearance associated to the facility.
According to Mrs. Low, Rabi Josh Dorsch helped in the infant room to supervise napping infants on Oct. 11th and 12th. Rabi Dorsch did not have fingerprint clearance on file.
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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: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 12/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/16/2021
LIC809 (FAS) - (06/04)
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