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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700087
Report Date: 10/06/2021
Date Signed: 10/06/2021 04:46:05 PM



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
07/13/2021 and conducted by Evaluator Tyra Block
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20210713092347
FACILITY NAME:PEPPER VALLEY LEARNING CENTERFACILITY NUMBER:
376700087
ADMINISTRATOR:MICHELLE THOMPSONFACILITY TYPE:
850
ADDRESS:1358 PEPPER DRIVETELEPHONE:
(619) 444-7770
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:144CENSUS: 59DATE:
10/06/2021
UNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:MIchelle, Amanda, and CarieTIME COMPLETED:
04:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child in care is not being assisted with toileting as needed.
Staff speak inappropriately in front of children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/6/21, Licensing Program Analyst, Tyra Block, made an unannounced complaint visit for the complaint received on 7/13/21 for the purpose of delivering findings on the above referenced allegations.

Based on the information obtained during interviews and documents reviewed it is determined that children are provided privacy when toileting and independence is encouraged. Children may ask for assistance if needed. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted and will remain posted for 30 days.

Exit interview was conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
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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