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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372001648
Report Date: 02/09/2024
Date Signed: 02/09/2024 02:33:28 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
12/29/2023 and conducted by Evaluator Keturah Lane
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20231229154912
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: 52DATE:
02/09/2024
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Jennifer LowTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff did not prevent daycare child from being bit by another child
Staff did not provide child's authorized representative with incident reports
INVESTIGATION FINDINGS:
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On 2/9/24 at 1:30 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced complaint visit for the complaint received on 12/29/23, for the purpose of delivering findings on the above referenced allegations. Upon arrival, LPA met with Director Jen Low and toured the facility. Census was 52 children in 5 classrooms with 6 staff members. LPA observed appropriate capacity, ratio and supervision at time of visit which was during naptime and following naptime ratios. All staff present were fingerprint cleared and associated to the facility.

LPA discussed resources with Director and preventing children from biting in the classroom. Director stated they had a staff meeting on 1/25/24 with staff members from rooms 12 & 3 (2 year old classrooms). They have provided teethers/frozen teethers/chew toys with texture for the children (in both classrooms) who show the need for biting/teething. Director stated, "We placed an additional staff member in room 12 starting 1/8/24, but there hasn't been a bite since then. LPA e-mailed additional resources that Director may use to provide training to staff members. (continued on LIC9099-C...)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
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 4
Control Number 51-CC-20231229154912
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
VISIT DATE: 02/09/2024
NARRATIVE
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Based upon information obtained during interviews with complainant, director, staff and parents of enrolled children and from documentation reviewed from complainant and facility, it is determined that the second bite C2 received from C1 could have been prevented. S1 stated that had another staff member been present in the classroom to visually supervise/redirect the children while she was changing a diaper and did not have the other children in her direct vision, the second bite most likely would not have occurred. S1 stated that another staff member was not available to help her. S1 stated that C1 had bitten C2 twenty minutes previously and was still agitated when the second bite occurred. It is also determined based upon interviews with complainant, staff, director and parents of enrolled children that parent of C2 did not receive the incident report for the second bite (only the first bite) at the time of pickup even though both occurred before naptime. Parent was provided the second incident report only after requesting it via e-mail the next day. Director and S1 stated it was an error and S1 forgot to give the parent the second note at pickup.

The allegations are valid because the preponderance of evidence has been met, therefore both allegations are found to be SUBSTANTIATED. Please see LIC9099D for Type B deficiencies cited. Exit interview conducted and report was reviewed with Director Jen Low. A notice of site visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 51-CC-20231229154912
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: 02/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/23/2024
Section Cited
CCR
101216(a)
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101216 Personnel Requirements
(a) Childcare center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and shall at all times be employed in numbers sufficient to meet those needs. This requirement was not met as evidenced by…
Based upon interviews with staff and parents and documents reviewed from the facility and complainant, staff member S1 was alone with 5 children in a classroom and was not visually
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In classrooms where a child that is a known biter is present, staffing should include an extra staff member to help with supervision of the child that bites to prevent it from occurring. Director stated she will provide a training on how to prevent biting in the classroom and to inform staff members to ask for help when needed.
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supervising the other children while changing a diaper (her back was turned), when C1 bit another child (C2) for the second time twenty minutes after the first bite which could have been prevented with adequate staff supervision. This is a potential health, safety and personal rights risk to children in care.
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When help is requested in a classroom due to supervision needs and/or biting, Director will send a staff member or herself to help in the classroom immediately. Director stated she will provide the training by 2/23/24 and e-mail the staff signed/dated meeting agenda to LPA Lane by EOB on 2/23/24.
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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: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 51-CC-20231229154912
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: 02/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/23/2024
Section Cited
CCR
101226(a)(2)
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101226 Health-Related Services (a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. (2) In the case of less serious injuries including, but not limited to, minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center. This requirement was not met as evidenced by…
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Director shall include a training by 2/23/24 that includes directions to staff members on how to fill out and deliver incident reports for parents. Incident reports shall be delivered and communicated to parents same day of the incident at pickup.
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Based upon interviews with Director, staff, complainant and parents, parent of C2 was not notified of the second bite upon pickup from the center. Other parents also stated that notification of injuries and behavior issues (biting) are not consistently communicated or received from the facility which is a potential health, safety and personal rights risk to children in care.
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Incident reports should be consistently written for both the biter and child that was bitten and records kept to know which child was bit and when. Director will provide a signed staff agenda dated by 2/23/24 and email to LPA Lane by EOB on 2/23/24.
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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: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4