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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374844890
Report Date: 09/22/2023
Date Signed: 09/22/2023 10:40:42 AM

Document Has Been Signed on 09/22/2023 10:40 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:LEARNING JUNGLE ESCONDIDOFACILITY NUMBER:
374844890
ADMINISTRATOR:PAIGE EUSEBIOFACILITY TYPE:
850
ADDRESS:1748 S. ESCONDIDO BLVD.TELEPHONE:
(760) 739-9179
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 22DATE:
09/22/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Paige EusebioTIME COMPLETED:
11:00 AM
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On September 22, 2023, at 10:20 AM Licensing Program Analyst (LPA) Courtnee Peebles arrived at the facility to conduct a case management visit. LPA toured the facility inside and out and took a census. LPA arrived at the facility to deliver an amended 9099 for a substantiated complaint. LPA explained to the director the incorrect date was input in the report of the substantiate report. A corrected report was given today.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE: DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2023
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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