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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105081
Report Date: 01/09/2023
Date Signed: 01/12/2023 12:48:53 PM

Document Has Been Signed on 01/12/2023 12:48 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LEARNING JUNGLE MISSION GORGEFACILITY NUMBER:
376105081
ADMINISTRATOR:KAYLA THOMASFACILITY TYPE:
850
ADDRESS:6690 MISSION GORGE RD #R,S,T,QTELEPHONE:
(619) 280-6690
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 22DATE:
01/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Liz GuadarramaTIME COMPLETED:
03:55 PM
NARRATIVE
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THIS REPORT WAS CREATED IN ERROR - CORRECT REPORT IS UNDER FACILITY #376105085 (Learning Jungle Mission Valley)
On 1/9/23 at 2:45 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced case management inspection for the purpose of following up on an unusual incident reported on 12/12/22. Director reported a child was accidentally enrolled in the toddler program before the child was age eligible. Upon arrival, LPA met with Director Liz Guadarrama and toured the facility. Census was 22 infants with 8 staff members in 3 classrooms.

LPA spoke with Director at facility regarding the unusual incident. Director stated that the child was enrolled in the toddler classroom by mistake as the date was written: day, month, year instead of month, day, year due to the enrollment coordinator working from Canada. The documents used by the facility uses the day, month, year format. On 12/12/22, Director requested an exception for the child to stay in the toddler classroom. However, center was closed due to the holidays from 12/16/22 through 1/3/23. Child was not immediately removed from the toddler classroom and as of today's date is now age-eligible for the toddler classroom. LPA advised in the future to double check birth dates to make sure they match all documents before placing child in classroom.

Pursuant to Title 22 of the CA Code of Regulations, the following Type B deficiency was cited (refer to LIC 809-D).

Exit interview conducted and report was reviewed with facility representative, Liz Guadarrama. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2023
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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Document Has Been Signed on 01/12/2023 12:50 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 01/10/2023 11:53 AM


Created By: Keturah Lane On 01/09/2023 at 03:15 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEARNING JUNGLE MISSION GORGE
FACILITY NUMBER: 376105081

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/09/2023
Section Cited
CCR
101161(a)

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THIS REPORT WAS CREATED IN ERROR - CORRECT REPORT IS UNDER FACILITY #376105085 (Learning Jungle Mission Valley)
101161 Limitations of Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidenced by...
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Director stated she will provide a written statement verifying birth dates of children and also have the assistant director double check the birth dates as well to prevent this from happening in the future. Written statement was received during inspection.
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Based upon Director statement, facility did not receive an approved exception from the Department before enrolling an infant in the toddler component which is a potential health, safety and 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:Monica Cuddy
LICENSING EVALUATOR NAME:Keturah Lane
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2023


LIC809 (FAS) - (06/04)
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