<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374844890
Report Date: 04/26/2023
Date Signed: 04/26/2023 01:27:51 PM

Document Has Been Signed on 04/26/2023 01:27 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:PAIGE EUSEBIOFACILITY TYPE:
850
ADDRESS:1748 S. ESCONDIDO BLVD.TELEPHONE:
(760) 739-9179
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 23DATE:
04/26/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Paige Eusebio, DirectorTIME COMPLETED:
01:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On April 26, 2023 at 11:05 AM, Licensing Program Analyst (LPA) Cindy Hamilton conducted a case management visit in response to the receipt of an Unusual Incident Report (UIR) from Learning Jungle Escondido (CCC). LPA met with Director Paige Eusebio to gather additional details surrounding incident. The incident occurred on 04/12/2023 and UIR was received by the licensing agency 04/13/23.

The UIR received stated that on April 12, 2023, Director was made aware by a teacher that a child was left on a playground by another teacher. The incident report also indicated that CCC was made aware of the missing child by a parent who was coming to pick-up another child. Once staff was made aware there was a child left on the playground, the teacher retrieved the child and took child into the classroom.

Based on the information gathered, the CCC is being cited for violation of Title 22, Section 101229(a)(1) Responsibility for Providing Care and Supervision.

An exit interview was conducted, a copy of this report, appeal rights and a Notice of Site Visit was provided to Director. The Director was reminded that the notice must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023
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 2
Document Has Been Signed on 04/26/2023 01:27 PM - It Cannot Be Edited


Created By: Cindy Hamilton On 04/26/2023 at 12:27 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: 04/26/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/10/2023
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary...(1)No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director has agreed to provide a written statement to LPA on facility's end of day transition/class combining process to ensure in ratio and adequate supervision. The facility will also provide training on expectations and best practices on reporting incidents and
8
9
10
11
12
13
14
Based information received, a child was left unattended on playground while staff was transitioning the other children to the class. The child was observed in treehouse by a parent.
8
9
10
11
12
13
14
supervision protocols to all staff. Director will provide proof of training, copy of training agenda and statment to LPA Hamilton on or before the POC due date.


1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: 04/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/26/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2