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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806457
Report Date: 12/14/2020
Date Signed: 12/14/2020 03:48:59 PM

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:EL CAJON WESLEYAN PRESCHOOL & INFANT CAREFACILITY NUMBER:
370806457
ADMINISTRATOR:LES HENDERSONFACILITY TYPE:
830
ADDRESS:1500 EAST LEXINGTON AVENUETELEPHONE:
(619) 441-2803
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:25CENSUS: 7DATE:
12/14/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Les HendersonTIME COMPLETED:
02:55 PM
NARRATIVE
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On 12/14/20 at 2:30 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced case management tele-inspection due to COVID-19. LPA Lane met with Director Les Henderson via FaceTime. Census was 4 children in Room Nursery Proper with staff member Brooke Anns and 3 children in Room Toddler A with staff member Veronica Ruvalcaba. Room Toddler B is not being used at this time. After reviewing staff records, it was determined that staff members Brooke Anns and Veronica Ruvalcaba had fingerprint clearances but were not associated to this facility.

Pursuant to Title 22 of the CA Code of Regulations, the following Type B deficiency was cited (refer to LIC 809-D).

CIVIL PENALTIES were assessed in the amount of $200. Licensee was provided a copy of Civil Penalties Assessment LIC421BG.

An exit interview was conducted with Licensee. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) will be sent along with the reports (LIC809, LIC809D, LIC421BG) via e-mail to the Licensee. Licensee will confirm receipt of these reports via e-mail and the reply of confirmation will serve as the signature acknowledging these rights. The Notice of Site Visit (LIC9213) must remain posted for 30 days.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2020
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: EL CAJON WESLEYAN PRESCHOOL & INFANT CARE
FACILITY NUMBER: 370806457
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/16/2020
Section Cited

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101216(i)(2) Personnel Requirements (i) Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall (2) request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement was not met as evidenced by...
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Based upon LPA's review of staff records, two staff members were not associated to this facility.
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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 CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2020
LIC809 (FAS) - (06/04)
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