<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701199
Report Date: 09/29/2022
Date Signed: 09/29/2022 02:19:15 PM

Document Has Been Signed on 09/29/2022 02:19 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:CAJON VALLEY STATE PRESCHOOL - LEXINGTON ELEM.FACILITY NUMBER:
376701199
ADMINISTRATOR:KAREN SAPPERFACILITY TYPE:
850
ADDRESS:1145 REDWOOD AVENUETELEPHONE:
(619) 588-3075
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 18DATE:
09/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Zaunb Abd and Lourdes Laser TIME COMPLETED:
02:19 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Tyra Block conducted an annual inspection. LPA met with Ms. Zaunb and Ms. Lourdes. The facility has a morning and afternoon program that operates Monday through Friday from 8:00 a.m. to 11:00 a.m and 11:45 a.m. to 2:45 p.m. LPA arrived during the AM session where there were 4 staff and 18 children.

The indoor and outdoor of the facility was inspected. The facility was operating within licensed capacity and ratio limitations. Children were observed to be under visual supervision. The classroom and restrooms have adequate lighting, heating, and ventilation. All floors appeared to be safe and clean. Furniture, children's cubbies, toys appeared to be in good condition. Trash cans have tight-fitting cover. Disinfectants, cleaning solutions and other hazardous items are stored behind latched cabinets and a cleaning person/ custodian cleans the bathrooms between classes. Medication policies and procedures were reviewed. Meals are provided by the school. Menus for breakfast and lunch are posted monthly in the class and on See Saw app. Electronic sign in/out sheets were reviewed showing parent/guardian’s signature and time of day recorded. The surface of the outdoor activity space is maintained in a safe condition with trees for shade. Children bring water bottles daily and additional water bottles are available. There are no bodies of water or weapons present on the premises. The last fire drill was conducted and documented on 9/28/22 for AM program and 9/27/22 for PM program. Emergency Disaster Plan posted, pending update with new staff. The nurses office is designated for use by children who are ill. A sample of children records, including medical assessment, identification and emergency information were reviewed. Staff's records and transcripts were reviewed to verify teacher qualifications and experience. Opening and closing staff members have current CPR and First Aid certifications. A review of staff records indicate that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Mandated reporter training and immunizations are current.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2022
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: CAJON VALLEY STATE PRESCHOOL - LEXINGTON ELEM.
FACILITY NUMBER: 376701199
VISIT DATE: 09/29/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy 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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. Applicant was encouraged to subscribe.

LPA advised facility representatives to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for forms and updated regulation information. Duty Line was provided: (619) 767-2248. Southern California Child Care Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.



No deficiencies cited during today's inspection. Exit interview was conducted and the report was reviewed with the licensee facility representative, Lourdes Laser. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2