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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105081
Report Date: 06/13/2024
Date Signed: 06/13/2024 10:56:21 AM

Document Has Been Signed on 06/13/2024 10:56 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LEARNING JUNGLE MISSION GORGEFACILITY NUMBER:
376105081
ADMINISTRATOR/
DIRECTOR:		KAYLA THOMASFACILITY TYPE:
850
ADDRESS:6690 MISSION GORGE RD #R,S,T,QTELEPHONE:
(619) 280-6690
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 48DATE:
06/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Kayla ThomasTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
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 06/13/24 at 9:20 am, Licensing Program Analyst (LPA) Gerald Poindexter conducted an unannounced site inspection for the purpose of follow-up on an incident that occurred on 06/04/24 at around 11:40 am. The facility’s emergency backpack containing children’s records was left behind in the facility’s playground. The incident was self-reported to Community Care Licensing by the facility with a written incident report that was received within the seven day requirement on 06/07/24.

LPA Poindexter interviewed Director Kayla Thomas, Assistant Director Lauren Patlan, and reviewed related documents. The following ratios were observed today: 30 children from 2 pre-school and pre-k classrooms on the playground and inside the facility, supervised by 5 staff members; and 18 infants inside, supervised by 6 staff.

Based on information obtained, it appears that the staff (S1), a teacher, was on a playground area with an aide, supervising 15 Pre-K children. The emergency backpack, per facility policy, was brought outside to the playground. It was placed on a painting easel and left behind when the children and staff returned to the main building. The backpack, most notably, contained a first aid kit and children’s files for the 26 total students in that class. According to the director, all parents of children in that classroom have been notified of the incident. Director Thomas states that S1 was “written up” for the incident, which is being further reviewed by management.

See LIC809 for Type B deficiency cited

Exit interview was conducted with Kayla Thomas, director. LPA reviewed and provided a copy of the report today. Notice of site visit and appeal rights were also provided. Notice of site visit shall remain posted for 30 days.

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
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 06/13/2024 10:56 AM - It Cannot Be Edited


Created By: Gerald Poindexter On 06/13/2024 at 10:33 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
, 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: 06/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/13/2024
Section Cited
CCR
101221(c)(1)

1
2
3
4
5
6
7
101221 Child’s Records: (c) All information and records obtained from or regarding children shall be confidential. (1) The licensee shall be responsible for safeguarding the confidentiality of record contents. This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Director Thomas stated that they will review their protocols for safeguarding children’s records and will provide a written copy of staff meeting agenda and staff signatures to LPA Poindexter in writing no later than 7/13/24. Email: Gerald.Poindexter@dss.ca.gov
8
9
10
11
12
13
14
Based on interview and records review, the licensee did not comply with the section cited above. The licensee confirms that staff did not safeguard children’s records, which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2024


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