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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701157
Report Date: 10/28/2020
Date Signed: 10/29/2020 11:06:19 AM

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 - LA MESA CAMPUSFACILITY NUMBER:
376701157
ADMINISTRATOR:AMANDA LUNDYFACILITY TYPE:
830
ADDRESS:7484 UNIVERSITY AVENUE STE 100TELEPHONE:
(619) 589-9196
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:12CENSUS: 6DATE:
10/28/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:28 PM
MET WITH:Amanda Lundy, Facility DirectorTIME COMPLETED:
03:10 PM
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On October 28, 2020 at 2:28 PM Licensing Program Analyst (LPA), Marie Hernandez, conducted an unannounced Tele-Conference Case Management Inspection due to the COVID -19 State of Emergency via WhatsApp with the Director, Amanda Lundy. On 10/28/2020, the facility self reported the incident to the Department. The facility reports that on 10/28/2020 at 10:00 AM, a year old child #1 was playing and became unconscious. The child was still breathing but was unresponsive for one to two minutes. 911 and the parent were immediately contacted. The child became conscious but lethargic so the teacher sat with child for observation until the paramedics arrived. LPA inspected the infant room area where the incident occurred and conducted several interviews with the staff, and the Director. The incident requires further review at this time.

LPA Marie Hernandez explained the case management incident inspection report, and the Director stated she understood. An exit interview was conducted, and a copy of the report was emailed to the Director. The Director was advised that acknowledgement of the receipt of the report is to be received within 24 hours. NOTE on Facility Signature: SEE FILE FOR ACKNOWLEDGEMENT.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2020
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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