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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624039
Report Date: 09/23/2021
Date Signed: 09/23/2021 01:07:59 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:LEARNING JUNGLE LINCOLNFACILITY NUMBER:
343624039
ADMINISTRATOR:BURTON, CYNTHIAFACILITY TYPE:
830
ADDRESS:7231 LINCOLN AVETELEPHONE:
(312) 493-1570
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:18CENSUS: 0DATE:
09/23/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Cynthia BuntonTIME COMPLETED:
01:20 PM
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Application Specialist (AS) Mai Lor and Licensing Program Analyst (LPA) Alize Tillery met with Director Cynthia Bunton for the purpose of an announced pre-licensing inspection. Applicant requests an infant license to serve 20 infants from birth to 24 months. The program will operate Monday through Friday from 6:30 AM to 6:00 PM. The fire clearance was granted on 08/4/21 with a maximum of 18 infants.

Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, menus, and daily schedule. AS and LPA provided and discussed LIC311A and the forms that must be in each child's and each staff member's file. Applicant stated the Needs and Services plans will be kept in the classrooms. Applicant stated parents will provide all formula, milk, and food for children under 1 and the program will provide provide breakfast, lunch and pm snacks for the older infants.

INDOOR ACTIVITY SPACE:
There are two infant classrooms: Infant classroom #1 and #2. AS and LPA observed a sufficient number of tables, chairs, and cubbies for 20 infants. AS and LPA observed 5 cribs and 12 napping cots. AS and LPA observed a variety of age-appropriate toys and equipment. Applicant acknowledges there will be a maximum of 5 infants under 12 months old, due to available cribs. The napping area is separated from the activity space by see through moveable dividers. Director was reminded to maintain supervision at all times to prevent any injuries.There is a first aid kit in each of the classrooms. Medications will be stored in the kitchen in a locked box. AS and LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. AS and LPA observed water pitcher in the school age classroom. Applicant stated they will have the same water pitcher for the infant classrooms. Applicant stated the carbon monoxide detector is combined with the smoke detector per the fire inspector in each of the classrooms. AS and LPA observed an electronic sign-in/sign-out system.
(Report continues on subsequent LIC 809)
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: LEARNING JUNGLE LINCOLN
FACILITY NUMBER: 343624039
VISIT DATE: 09/23/2021
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AS and LPA measured the classroom. The total classroom space contains a total of 602.1207 square feet, which will not accommodate Applicant's requested capacity of 20 infant children. There are 8 toilets and 13 sinks available to children, and a separate staff restroom is available. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). AS and LPA observed a changing table with a changing pad that is at least one inch think with raised sides that are at least three inches tall. Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property for infant children. The outdoor play area is fenced with a chained link fence that is four feet tall and separates the shared preschool and school age yard. Applicant stated the facility has a work order that is scheduled to put in permanent turf. AS and LPA observed a variety of age-appropriate outdoor toys and equipment. There are shaded areas supplied by trees and overhangs.

AS and LPA measured the outdoor activity space. The outdoor play area contains a total of 808.992 square feet, which will not accommodate the applicant's requested capacity of 20 infants. Applicant requested to share the preschool play yard with the preschool and school age children. The preschool play yard is shaded by permanent shade structure, trees, and tents. The climbing structures do not have safety labels; Applicant acknowledges children must use age appropriate equipment. There are no bodies of water on the premises.

AS and LPA discussed the following: 100% supervision is required at all times; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. AS discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

(Report continues on subsequent LIC 809)

SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: LEARNING JUNGLE LINCOLN
FACILITY NUMBER: 343624039
VISIT DATE: 09/23/2021
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Prior to this inspection, AS emailed Effects of Lead Exposure brochure and Provider Notice Information (PIN) 21-21 (Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers per AB 2370), and immunization card. AS and LPA reviewed lead testing requirement and COVID-19 technical assistance with the applicant.

This facility plans to provide Incidental Medical Services - IMS. For IMS information, see Evaluator Manuel - Regulation Interpretations and Procedures for Child Care Centers Section 101173 and 101226. A 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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.


Licensee 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.

Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.

(Report continues on subsequent LIC 809)
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: LEARNING JUNGLE LINCOLN
FACILITY NUMBER: 343624039
VISIT DATE: 09/23/2021
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Conditions requiring correction prior to issuing a license:

1. Licensing Program Manager's final review
2. Proof of completed infant play yard
3. Waiver to share the preschool play yard.
4. Updated fire clearance
5. Updated LIC 200A

Exit interview conducted and report was reviewed with the Applicant, Cynthia Bunton, and via telephone with Applicant Michael Ong.

SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4