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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624478
Report Date: 12/06/2024
Date Signed: 12/06/2024 11:14:07 AM

Document Has Been Signed on 12/06/2024 11:14 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:LEARNING JUNGLE MORSEFACILITY NUMBER:
343624478
ADMINISTRATOR/
DIRECTOR:		BRITTANY ACKERSONFACILITY TYPE:
830
ADDRESS:1940 MORSE AVENUE #2114TELEPHONE:
(916) 971-1041
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/06/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Laura PennimpedeTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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On Friday, December 06, 2024, Licensing Program Analyst (LPA) Stephanie Piring and Licensing Program Manager Natalie Dunaway met with Facility Representative, Laura Pennimpede (Regional Director), to deliver complaint investigation findings.

During a complaint visit on November 15, 2024, LPA conducted interviews with staff and discovered that a staff member fed infants unauthorized lavender chamomile tea in their bottles. Further interviews revealed that infants were also fed additional unauthorized food such as fruit, cereal, and homemade items from the staff member’s home. Additionally, It was also determined that concerns were brought to the facility administration prior to LPAs visit and the facility did not report the incidents to the Licensing Agency within the required time frame.

A type B citation is being cited on the attached LIC 809D. Exit interview conducted and report was reviewed with Facility Representative Laura Pennimpede. Appeal Rights Provided.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2024
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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Document Has Been Signed on 12/06/2024 11:14 AM - It Cannot Be Edited


Created By: Stephanie Piring On 12/06/2024 at 09:44 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LEARNING JUNGLE MORSE
FACILITY NUMBER: 343624478

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/13/2024
Section Cited
CCR
101212(d)

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Reporting Requirements 101212 (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... within the Department's next working day... a written report shall be submitted to the Department within seven days following the occurrence of such event.
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Facility will submit an Unusual Incident Report for the incident on unauthorized food being served to infant children. Facility will submit the UIR to LPA by 12/13/24.
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This requirement was not met as evidenced by:
Based on witness statement, the facility did not comply with the above regulation, which poses a potential Health, Safety, or Personal Rights risk to persons 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:Natalie Dunaway
LICENSING EVALUATOR NAME:Stephanie Piring
LICENSING EVALUATOR SIGNATURE:
DATE: 12/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2024


LIC809 (FAS) - (06/04)
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