Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700088
Report Date: 05/10/2019
Date Signed: 05/10/2019 02:38:42 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:PEPPER VALLEY LEARNING CENTER - SCHOOL AGEFACILITY NUMBER:
376700088
ADMINISTRATOR:ALLAN, CARIEFACILITY TYPE:
840
ADDRESS:1358 PEPPER DRIVETELEPHONE:
(619) 444-7770
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:72CENSUS: 9DATE:
05/10/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Carie AllanTIME COMPLETED:
01:51 PM
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Licensing Program Analyst (LPA) Michelle Hood conduct an unannounced annual random inspection. Upon arrival LPA met with Director, and proceeded to tour the facility.

Furniture and age appropriate equipment is in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food and beverages are stored in covered containers at 45 degrees F or less if required, and storage containers for solid waste are covered. Drinking water is readily accessible inside and outside the classroom. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children. Storage area for poisons is locked. Trash cans have tight-fitting cover. Outdoor play area is fenced with adequate material for cushioning. Area has canopies used for shade. There are no bodies of water or weapons at this facility. Last emergency drill was conducted 03/26/2019. There is an operational carbon monoxide detector at the facility. First Aid/CPR reviewed and in compliance. Sign in/sign out sheets are well maintained. Admission Agreement forms reviewed for some children. Staff records contain documentation of education, training, and/or experience. Menus are posted.

There following was observed:

Room #7:
  • serves children ages 5 to 6 years old
  • 9 children present with 1 fully qualified teacher
Room #4:
  • there were not any children or staff members present in this classroom
Room #1:
  • there were not any children or staff members present in this classroom

Appropriate ratios and capacity were observed.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
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 - SCHOOL AGE
FACILITY NUMBER: 376700088
VISIT DATE: 05/10/2019
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The center is currently providing IMS, a written plan of operation is on file. 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 http://www.ada.gov/childqanda.htm

*** New immunization law (SB792) was discussed with Director. Director understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. The center is compliant with SB792.

No deficiencies were issued throughout today's inspection. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Director post notice of site visit. Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov

SUPERVISOR'S NAME: Jason GarayTELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2