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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372001648
Report Date: 11/13/2023
Date Signed: 11/13/2023 03:40:54 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/07/2023 and conducted by Evaluator Nancy Diaz
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20231107122226
FACILITY NAME:SILVERMAN PRESCHOOL OF TIFERETH ISRAEL SYNAGOGUEFACILITY NUMBER:
372001648
ADMINISTRATOR:JENNIFER LOWFACILITY TYPE:
850
ADDRESS:6660 COWLES MOUNTAIN BOULEVARDTELEPHONE:
(619) 697-1948
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY:89CENSUS: 48DATE:
11/13/2023
UNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:Antonio ParkerTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility is out of ratio.
INVESTIGATION FINDINGS:
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On 11/13/2023 @ 2:00PM, Licensing Program Analysts (LPAs) Nancy Diaz and Sherlynn Banas conducted an unannounced inspection in reference to an allegation that the facility is out of ratio.
LPAs observed 48 children in Rooms #3, #8, #10, #12 & #14. All children observed today were napping or quietly resting.
At 2:20PM, during a follow-up tour of the classrooms, Room #3 was observed to be out of ratio with 13 children and 1 staff (Katelyn Salisbury). Ms. Banas observed that 12 children were resting and one child was awake.
Based on LPAs observation, the preponderance of evidence standard has been met; therefore the findings is substantiated. California Code of Regulations, Title 22, is being cited on the attached lic 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 51-CC-20231107122226
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: SILVERMAN PRESCHOOL OF TIFERETH ISRAEL SYNAGOGUE
FACILITY NUMBER: 372001648
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/13/2023
Section Cited
CCR
101216.3(a)
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TEACHER-CHILD RATIO.
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...

This requirement was not met as evidenced by:
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This deficiency was corrected at 2:26pm when staff Jean Simmon arrived in the classroom from lunch break. Mr. Parker will designated a floater in the classroom to cover when staff goes on her lunch break.
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Based on observation, LPA Banas observed 13 children in Room #3 with one staff - Katelyn Salisbury.
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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.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2