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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370805845
Report Date: 05/30/2024
Date Signed: 05/30/2024 02:47:31 PM

Document Has Been Signed on 05/30/2024 02:47 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:FIRST LUTHERAN PRESCHOOL OF EL CAJONFACILITY NUMBER:
370805845
ADMINISTRATOR/
DIRECTOR:
RAMONA VAN DEWEGHEFACILITY TYPE:
850
ADDRESS:867 SOUTH LINCOLN AVENUETELEPHONE:
(619) 444-0559
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 18DATE:
05/30/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Ramona Van DewegheTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 5/30/24 at 1:30 PM, LPA Annette Sutherland made an unannounced CASE MANAGEMENT inspection, for reported Lead Exceedance. LPA met with Director, Ramona Van Deweghe. Also present in the facility were 18 day care children and 4 staff members in 3 rooms. Facility was within ratio & capacity. LPA interviewed director and examined the faucet deemed an Action Level Exceedance.

Faucet reported with 5.5 ppb or greater lead exceedance levels was as follow:

Classroom #106 Hand Washing Sink 11.00 ppb

Classroom sink in exceedance is a classroom that has not been in use since 2019 but since testing Director has since posted a "Do not use for drinking or food handling" sign above the sink in exceedance to remind staff not to use the sink for drinking water or food preparation. Sink was tested back in 2022 documents were submitted to department at last annual. Director had the sink replaced but was never retested again as classroom is not in use and has not been in use for several years therefore no deficiencies have been cited.

Children at the center bring water bottles to school each day and the facility provides filtered water to refill the bottles.

Exit interview conducted and report was reviewed with Director Ramona Van Deweghe.
A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024
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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