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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374844890
Report Date: 04/14/2022
Date Signed: 04/14/2022 12:52:11 PM

Document Has Been Signed on 04/14/2022 12:52 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:LEARNING JUNGLE ESCONDIDOFACILITY NUMBER:
374844890
ADMINISTRATOR:EDITH KIRCHERFACILITY TYPE:
850
ADDRESS:1748 S. ESCONDIDO BLVD.TELEPHONE:
(760) 739-9179
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY: 42TOTAL ENROLLED CHILDREN: 62CENSUS: 46DATE:
04/14/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:39 PM
MET WITH:Paige Eusebio, Designated FacilitatorTIME COMPLETED:
12:45 PM
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On April 14, 2022, Licensing Program Analyst (LPA) Cindy Hamilton conducted a case management visit as a result of a complaint investigation. During the course of the complaint investigation, confidential interviews disclosed that on an unknown date Staff #1 (S1) denied a Child water and on February 1, 2022 denied another child water.

See LIC 809D for deficiency cited.

An exit interview was conducted, appeal rights were given and discussed, and a copy of this report and Notice of Site Visit was provided to Licensee. Licensee was advised that the Notice of Site Visit must be posted in a prominent location for the next 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2022
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 04/14/2022 12:52 PM - It Cannot Be Edited


Created By: Cindy Hamilton On 04/14/2022 at 12:05 PM
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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LEARNING JUNGLE ESCONDIDO
FACILITY NUMBER: 374844890

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/29/2022
Section Cited
CCR
101223(a)(3)

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101223 PERSONAL RIGHTS (a)The licensee shall ensure that each child is accorded the following personal rights:(3) To be free from corporal or unusual punishment...intimidation, ... or other actions...but not limited to: interference with functions of daily living including eating, sleeping or toileting...or aids to physical functioning. This requirement was not met as evidenced by:
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Facility agrees to conduct personal rights training for all staff. Facility also agrees to provide LPA with proof of training to consist of training content and sign-in sheet via email by the POC date April 29, 2022.
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Based on confidential interviews S1 denied two children water on two separate occasions which 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:Carlos Martinez
LICENSING EVALUATOR NAME:Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2022


LIC809 (FAS) - (06/04)
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