376700087-4-3-2023-51-CC-SSIO-CQJT9P-20230403143214

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700087
Report Date: 04/03/2023
Date Signed: 04/03/2023 02:32:26 PM

Document Has Been Signed on 04/03/2023 02:32 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	PEPPER VALLEY LEARNING CENTER		FACILITY NUMBER:	376700087
ADMINISTRATOR:	MICHELLE THOMPSON		FACILITY TYPE:	850
ADDRESS:	1358 PEPPER DRIVE		TELEPHONE:	(619) 444-7770
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	144	CENSUS: 55	DATE:	04/03/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	01:35 PM
MET WITH:	Michelle Thompson		TIME COMPLETED:	02:40 PM

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On 04/03/2023 at 1:35pm, Licensing Program Analyst (LPA) Selina Siao conducted a case management inspection, for Action Level Exceedance (ALE) detected in facility's water fixture. Upon arrival, LPA met with Director Michelle Thompson and conducted a tour to gather census. There were 55 children supervised by five staff member in classrooms 3, 5, 6, 8 and 9. Appropriate ratios were observed during the inspection. All staff members have the required background clearances and are associated to the facility.

Per the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs). Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

Facility provided facility sketch and required forms (LIC 9275/9276) to Department on 03/30/2023.

On 02/15/2023, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and five water samples were collected on 02/01/2023.

Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels is as follow:

Sample Site Faucet B/B30 - kitchen sink faucet. The kitchen faucet has not been use since the result of the lead test result. The kitchen sink faucet fixture has been replaced and the water retested on 03/28/2023 pending result.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: PEPPER VALLEY LEARNING CENTER	FACILITY NUMBER: 376700087
	VISIT DATE: 04/03/2023

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Facility representative posted the Child Care Center Lead Sampling testing report during today's inspection.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

See LIC809D for type B deficiency cited.

Exit interview conducted and report was reviewed with the facility representative. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/03/2023 02:32 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: PEPPER VALLEY LEARNING CENTER	FACILITY NUMBER: 376700087
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/03/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/04/2023 Section Cited	1 2 3 4 5 6 7	California Lead Action Level at Child Care Centers-A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Director stated that the facility has been using the kitchen drinking filter water for drinks and food. Director stated that they will not use the kitchen sink faucet until the facility obtain a low lead testing result for the faucet.
	8 9 10 11 12 13 14	Based on testing report and interview, the licensee did not comply with the directive above, as one out of five of the water outlets located at Site B and B30 tested with an Action Level Exceedance (ALE). This poses a potential Health and Safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023

LIC809 (FAS) - (06/04)

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