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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701517
Report Date: 10/09/2024
Date Signed: 10/09/2024 12:49:00 PM

Document Has Been Signed on 10/09/2024 12:49 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
SAN DIEGO CC RO, 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: 16CENSUS: 13DATE:
10/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:40 AM
MET WITH:Katie WuestTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
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On 10/09/2024 at 11:40am, Licensing Program Analyst (LPA), Selina Siao conducted an unannounced Case Management inspection for an increase in capacity. Upon arrival, LPA met with Site Supervisor Katie Wuest. Applicant is requesting to be licensed for 28 preschool children ages 2 to 5 years old in the current licensed classrooms #1 and #2. Facility operates Monday to Friday from 8am to 4pm for classroom #2 and 9am to 12:30pm for classroom #1. The following ratios were observed today: Room 1 had 8 children supervised by staff members Arianna Valadez and Jamie Bales and Room 2 had 5 younger preschool children supervised by staff members Kemerley Gondek, Winona Upton and Adrianna Polen. Appropriate title 5 ratios and supervision were observed. All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Site Supervisor that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities.

LPA continued to tour the facility and the classrooms were previously measured. Total indoor activity space measured to be 1604.46 square feet after using the conversion chart, which is sufficient to accommodate the requested capacity of 28 Children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via water bottles that are located in the classroom and children bring their individual refillable water bottles. LPA observed all hazardous items to be inaccessible to children. Facility representative stated that there are no bodies of water or weapons on the property. Fire clearance was granted on 09/18/2024.

LPA observed a total of 4 sinks and 3 toilets available for children’s use inside classroom #1 and #2. Facility also has a restroom with 1 sink and 1 toilet located outside near the future play area for children's use. These are sufficient to accommodate the requested capacity of 28 children.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: PINE VALLEY PRESCHOOL
FACILITY NUMBER: 376701517
VISIT DATE: 10/09/2024
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The facility currently has a fully fenced playground area. Facility has a chain-link fencing that is at least four feet high. The total square footage for all the outdoor activity space was previously measured to be 4176.90 square feet, which is sufficient to accommodate the requested capacity. Shade is provided via trees. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a little tike climbing structure on the playground that appears to be age appropriate for the children in care that is placed on top of black top cushioning. Drinking water is available via the children's own water bottles when they are outside. LPA observed all hazardous items on the playground to be inaccessible to children. Site Supervisor was reminded that any changes to the facility must be reported to and approved by Community Care Licensing. Facility is in the process of building a preschool playground on this school district continue education site and LPA advise Site Supervisor Katie Wuest that upon completion of the playground the new playground will need to be inspected and be approve by Licensing prior to children using the new area.

An updated personnel report (LIC500) and an emergency disaster plan (LIC610) was obtained today.

No correction is needed. A license for 28 children will be granted effective today.



A notice of site visit was given to Site Supervisor Katie Wuest and it must remain posted 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC809 (FAS) - (06/04)
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