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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417170
Report Date: 10/29/2024
Date Signed: 10/29/2024 10:00:18 AM

Document Has Been Signed on 10/29/2024 10:00 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SINAI NURSERY SCHOOLFACILITY NUMBER:
434417170
ADMINISTRATOR/
DIRECTOR:		IFAT KANTOROVICHFACILITY TYPE:
860
ADDRESS:1532 WILLOWBRAE AVENUETELEPHONE:
(408) 264-8486
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY: 69TOTAL ENROLLED CHILDREN: 30CENSUS: 22DATE:
10/29/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:16 AM
MET WITH:Ifat KantorovichTIME VISIT/
INSPECTION COMPLETED:
10:20 AM
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On 10/29/24, Licensing Program Analysts (LPAs) Janette Cruz and Harsimran Kaur met with Applicant Representative, Ifat Kantorovich. The purpose of the visit was an unannounced prelicensing inspection at the facility to ensure that health, safety and personal rights as required by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. The facility has an existing preschool program Facility # 434408052 with a capacity of 48 preschool and 12 toddler children which will be converted to a single license upon completion of the inspection process. Applicant is requesting to add an infant component and be licensed for 9 infants (ages 6 weeks - 24 months) in the infant classroom with 12 toddlers (ages 18 - 36 months) in toddler room and 48 preschoolers (ages 2-5 years) in classrooms #1,2 3 and 5. Hours of operation will be Monday to Thursdays 07:30 AM to 5:30PM and on Fridays 7:30 - 4:00PM. Fire clearance was granted on 05/27/24. Facility is located in a synagogue community, Congregation Sinai.

LPAs discussed with Applicant that inspection cannot be completed during today's pre-licensing visit since infant classroom does not yet have available infant equipment (i.e cribs, changing table). LPAs informed Applicant that complete set-up of the classroom is required to obtain accurate measurement of the classroom and to determine license capacity. Applicant shall advise LPAs once the facility is ready for pre-licensing inspection.

An exit interview was conducted and a copy of appeal rights and this report was provided to the Applicant Representative, Ifat Kantorovich.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2024
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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