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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701517
Report Date: 08/09/2024
Date Signed: 08/09/2024 12:52:33 PM

Document Has Been Signed on 08/09/2024 12:52 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:PINE VALLEY PRESCHOOLFACILITY NUMBER:
376701517
ADMINISTRATOR/
DIRECTOR:		KATIE WUESTFACILITY TYPE:
850
ADDRESS:7454 PINE BOULEVARDTELEPHONE:
(619) 473-9022
CITY:PINE VALLEYSTATE: CAZIP CODE:
91962
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 0DATE:
08/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:25 AM
MET WITH:Crystal KremenskyTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 08/09/2024 at 11:25 am, Licensing Program Analyst (LPA), Dana Stevens conducted an unannounced case management inspection for the purpose of a room addition. LPA met with Director Crystal Kremensky and proceeded to tour the facility. Licensee is requesting to add Room 2 to their existing license serving 15 preschool children age 2 years – 5 years. Facility hours of operation are 8:00 AM – 4:00 PM.

· Room 1: Previously measured 910.13 square feet, serving Preschool children
(ages 2 – 5 years)
· Room 2: Measured 649.49 square feet, serving Preschool children (ages 2 - 5 years)

Room 2 indoor space for children measured a total of 649.49 square feet which is sufficient to accommodate a capacity of 18 children, however licensee is requesting capacity of 15 at this time. Classrooms are equipped with age-appropriate furniture including mats for napping, tables, chairs, cubbies, bookshelves and other materials for children. There are two (2) toilets and three (3) sinks available for use, which is sufficient to accommodate the requested capacity.

Director stated drinking water will be available inside and outside via water fountains and children bring individual, refillable water bottles. There is a separate restroom for staff located in the adjacent cafeteria building. The school nurses office will be utilized for isolation if a child becomes ill, and there is one toilet and sink available for children's use. Disinfectants and cleaning solutions are kept in high cupboards but were not made inaccessible to children.

The facility provides snacks and meals delivered by the school cafeteria. The facility utilizes hard copy sign in sheets. There was no operational carbon monoxide detector. There is a first aid kit available with required supplies. Required documents were posted.
A fire clearance for 15 preschool children was granted 01/24/2024.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: PINE VALLEY PRESCHOOL
FACILITY NUMBER: 376701517
VISIT DATE: 08/09/2024
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The outdoor activity space was inspected and previously measured a total of 4,179 square feet which is sufficient to accommodate 55 children. The outdoor space is located on the east side of the campus. Children shall be escorted to and from the outdoor activity space by a teacher. Shade is provided through the use of trees. The preschool outdoor activity space is for exclusive use by preschool children.

Incidental Medical Services (IMS) was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) / (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. LPA and Applicant discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

The following corrections are needed for approval of Room 2:
  • Operational Carbon Monoxide Detector
  • Disinfectants and Cleaning solutions made inaccessible to children

An exit interview was conducted with Director and a copy of this report was provided. Notice of site visit must be posted for 30 days.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2024
LIC809 (FAS) - (06/04)
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