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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701043
Report Date: 05/04/2023
Date Signed: 05/04/2023 12:02:17 PM


Document Has Been Signed on 05/04/2023 12:02 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:LEARNING JUNGLE SCHOOL - SAN MARCOS CAMPUSFACILITY NUMBER:
376701043
ADMINISTRATOR:CHERYL GILLINSFACILITY TYPE:
850
ADDRESS:1364 EAST MISSION ROADTELEPHONE:
(760) 432-8050
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY:36CENSUS: 12DATE:
05/04/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Valerie RodriguezTIME COMPLETED:
12:10 PM
NARRATIVE
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On May 4, 2023 at 10:30 a.m. Licensing Program Analyst (LPA), Leilani Curtis, conducted an unannounced case management inspection. LPA met with Director Valerie Rodriguez and proceeded to tour the facility. There were 12 children with 3 staff members present. Appropriate ratio/capacity was observed. Staff members have the required background clearances and are associated to the facility.

The director states that on 3/24/23 a staff member (S1) left a child (C1) unattended on the playground. LPA interviewed staff #2 (S2) and the director. On 3/24/23 at approximately 9:00 a.m. S1 and her class were transitioning from the playground back into the classroom. S1 entered the classroom with her students, closing the facility door behind her. S1 left one child (C1) alone, outside on the playground for approximately 3-4 minutes. C1 was not injured or harmed. The parent of C1 was not notified of the incident. Director Rodriguez states that S1 is no longer employed at the facility. The director also states that she did not notify Community Care Licensing or the parent/guardian of C1 of the incident because she was not aware that she was required to do so.

See LIC809D for cited deficiency.

LPA Curtis informed Director Rodriguez that this report dated 5/4/23 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Curtis informed Director Rodriguez to provide a copy of this licensing report dated 5/4/23 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/04/2023
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 3


Document Has Been Signed on 05/04/2023 12:02 PM - It Cannot Be Edited

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: LEARNING JUNGLE SCHOOL - SAN MARCOS CAMPUS
FACILITY NUMBER: 376701043

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/12/2023
Section Cited

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101229(a)(1) Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:
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The director states that she will conduct a staff meeting to discuss proper care and supervision. The director will send LPA a copy of the meeting agenda and staff sign in sheet via email by 5/12/23.
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Based on interviews with the director and staff #2. Staff #1 (S1) left child #1 (C1) unattended on the playground for approximately 3-4 minutes on 3/24/23. This poses a immediate health, safety or personal rights risk to children in care.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 05/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/04/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3


Document Has Been Signed on 05/04/2023 12:02 PM - It Cannot Be Edited

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: LEARNING JUNGLE SCHOOL - SAN MARCOS CAMPUS
FACILITY NUMBER: 376701043

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/12/2023
Section Cited

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101212 Reporting Requirements:(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day...In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days...(1)Events reported shall include the following: (C) Any unusual incident or child absence... This requirement was not met as evidence by:
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The director states that she will conduct a staff meeting to discuss reporting requirements. The director will send LPA a copy of the meeting agenda and staff sign in sheet via email by 5/12/23.
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Based on record review and Director statement, the director did not notify the Department that a child (C1) was left unattended/unsupervised on the the playground, on 3/24/23. This poses a potential health, safety or personal rights risk to children in care.
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Type B
05/12/2023
Section Cited

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101212 Reporting Requirements: (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement was not met as evidenced by:
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The director states that she will notify the parent of C1 of the incident and she will send LPA a signed and dated letter confirming when and how the parent/guardian was notified.
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Based on the director's statement, the parent of C1 was not notified that the child was left unattended on the playground on 3/24/23. This poses a potential health, safety or personal rights risk to children in care.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 05/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/04/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3