372001648-12-22-2021-51-CC-TDAL-CACMG9-20220104083531

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 372001648
Report Date: 12/22/2021
Date Signed: 12/22/2021 10:38:52 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/20/2021 and conducted by Evaluator Nancy Diaz

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20211220100145

FACILITY NAME:	SILVERMAN PRESCHOOL OF TIFERETH ISRAEL SYNAGOGUE		FACILITY NUMBER:	372001648
ADMINISTRATOR:	AMY STANLEY		FACILITY TYPE:	850
ADDRESS:	6660 COWLES MOUNTAIN BOULEVARD		TELEPHONE:	(619) 697-1948
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92119
CAPACITY:	89	CENSUS: 36	DATE:	12/22/2021
		UNANNOUNCED	TIME BEGAN:	08:23 AM
MET WITH:	Jennifer Low		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Lack of supervision resulting in day care child sustaining injury.

INVESTIGATION FINDINGS:

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On 12/22/21 @ 8:23AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection. Toured the classrooms and outdoor play area with Acting Director, Jennifer Low. Observed present today were 36 preschool children. Appropriate staff-child ratios were observed in all the classrooms.
LPA interviewed 3 staff who were supervising the child who sustained a minor injury. Staff interviewed denied that the children were not supervised. Staff stated that there were 7-9 children that day with 3 teachers. Primary caregiver was standing approximately 5 ft. away from the child and saw that the child was playing with another child when she tripped and hit her cheek on the structure. Staff immediately applied ice pack and cleaned her up. Child was picked up by parent around 9AM and was taken to see a dentist. Child chipped her tooth and sustained a superficial cut on the cheek. Child returned to daycare the following day. Parent told staff that child did not need medical procedure as the injury was superficial and the chipped tooth was a baby tooth. Throughout the course of the investigation, facility staff were interviewed. There was no evidence or witnesses to corroborate or support the allegation. The above allegation is found to be unsubstantiated, which means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the alleged violation occurred, therefore the allegation is found to be inconclusive. No deficiency cited. Exit interview conducted and report was reviewed with Jennifer Low.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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