Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600287
Report Date: 09/23/2020
Date Signed: 09/23/2020 04:22:02 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:CAJON VALLEY STATE PRESCHOOL - RIOS ELEMENTARYFACILITY NUMBER:
376600287
ADMINISTRATOR:MARIA KEHOEFACILITY TYPE:
850
ADDRESS:14314 RIOS CANYON ROADTELEPHONE:
(619) 588-3090
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:25CENSUS: 0DATE:
09/23/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Virginia PinkertonTIME COMPLETED:
04:45 PM
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On 09/23/2020 at 3:15PM, Licensing Program Analyst (LPA) Elise Read conducted an announced case management inspection for the purpose of a room change and capacity decrease. LPA met with Director Virginia Pinkerton, preschool teacher Tere Hanna, and elementary school Principal Liz Loether. The facility was previously operating in classroom 4, but has requested to change classrooms to begin operating in classroom 22. Facility has also requested a capacity change from 25 to 24 children. At this time, the facility is operating using distance learning, but will be returning to in person learning in the future.
Fire clearance was granted on 02/28/2020.

Room 22 measures at 824.41 sq ft, sufficient for 23 children.
The new outdoor play area measures at 6063.61 sq ft, sufficient for 80 children.
The bathroom is located in room 20. Children are to be escorted and supervised by staff to and from the bathroom and direct visual observation is required. The preschool children will have exclusive use of the bathroom. There are two toilets and one sink in the bathroom. There is an additional sink accessible to the children in the classroom. The toilets and sinks are sufficient for 30 children.

First Aid Kit is kept above the sink in the classroom. Medications will be stored in the elementary school office. At this time, the facility does not have any children who need medications. Isolation area is located in the school nurse's office, which includes a toilet and a sink that can be used for isolated children.

The room is complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, bookshelves, and other activity supplies for the children. The facility operates as a half day program, and therefore does not have cots for children to nap.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2020
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: CAJON VALLEY STATE PRESCHOOL - RIOS ELEMENTARY
FACILITY NUMBER: 376600287
VISIT DATE: 09/23/2020
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There is a separate bathroom for staff located near the classroom. There is a carbon monoxide detector on site located in the classroom. There is a refrigerator and microwave in the classroom. All food is delivered to the preschool and served to the children. Sign-in sheet will be located at the front office where check in will occur.

This facility plans to provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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 Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

No deficiencies cited.
A license for 23 children in room 22 will be granted.

Exit interview was conducted. The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. This report shall be kept available at the facility for public review for 3 years.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2020
LIC809 (FAS) - (06/04)
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