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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372001648
Report Date: 10/28/2024
Date Signed: 10/28/2024 11:20:40 AM

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
08/21/2024 and conducted by Evaluator Saraliz Velando
COMPLAINT CONTROL NUMBER: 51-CC-20240821105505
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: 69DATE:
10/28/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Director, Jennifer LowTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Bedding is not stored separately.
INVESTIGATION FINDINGS:
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On 10/28/24, Licensing Program Analysts (LPAs) Saraliz Velando and Stefanie Mutialu conducted an unannounced visit for the purpose of delivering findings for complaint received on 8/21/24. The LPA met with the Director and toured the facility. There were 69 preschool children present and 17 staff at the facility.

LPA Velando obtained information from observation, file reviews, parent interviews, and staff interviews and it was determined bedding is not stored separately. The preponderance of the evidence has been met and therefore, the above allegation is found to be SUBSTANTIATED.

Type B Violation was cited. Refer to the next page LIC 809-D for deficiency citation. The exit interview was conducted with the Director, Jennifer Low. Appeal Rights and a copy of the licensing report was provided. A notice of site visit was posted and must remain for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
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 2
Control Number 51-CC-20240821105505
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: 10/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/01/2024
Section Cited
CCR
101239.1(c)(2)
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101239.1 Napping Equipment- (c) Each cot or mat shall be... (2) Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. This requirement was not met by:
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Director states that they separately stored the napping equipment on 8/30/24 when new staff took over Room 10. LPA observed the correction on 10/28/24.
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Based on observation on 8/26/24, LPA observed napping mats touching/stored together in a preschool classroom which is a potential health and safety risk to children in care.
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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: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2