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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105084
Report Date: 03/02/2023
Date Signed: 03/02/2023 12:17:26 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/27/2023 and conducted by Evaluator Keturah Lane
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20230227152101

FACILITY NAME:LEARNING JUNGLE MISSION VALLEYFACILITY NUMBER:
376105084
ADMINISTRATOR:DOLORES GUADARRAMAFACILITY TYPE:
850
ADDRESS:403 CAMINO DEL RIO SOUTHTELEPHONE:
(619) 309-3430
CITY:SAN DIEGOSTATE: CAZIP CODE:
92108
CAPACITY:96CENSUS: 34DATE:
03/02/2023
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Dolores GuadarramaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Sign in and out sheets are not completed with full legal signature and time
INVESTIGATION FINDINGS:
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On 3/2/23 at 8:40 AM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced 10-day complaint inspection for the complaint received on 2/27/23 regarding the above allegations. Upon arrival, LPA met with Director Dolores Guadarrama and toured the facility. Census was 34 children in 4 classrooms with 7 staff members. LPA observed appropriate ratio and capacity during inspection. LPA observed appropriate supervision by staff as children were participating in circle time and activities.

During this visit LPA conducted interviews with staff and children, observed 1 classroom for approximately 30 minutes, observed outside play area, reviewed sign in and out sheets and obtained facility roster, personnell roster and other requested documents from Director. (continued on LIC9099-C...)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 51-CC-20230227152101
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 VALLEY
FACILITY NUMBER: 376105084
VISIT DATE: 03/02/2023
NARRATIVE
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Based on information LPA obtained from reviewing sign in and out sheets, it is determined that parents have been initialing the sign in and outs and not using their legal siganture as there is not enough room provided on the sheets for full sigantures. The allegation is valid because the preponderance of evidence has been met, therefore, the above allegation is SUBSTANTIATED. See LIC9099-D for Type B citation.

Exit interview conducted and report was reviewed with facility representative Director Dolores Guadarrama. Notice of site visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 51-CC-20230227152101
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 VALLEY
FACILITY NUMBER: 376105084
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/17/2023
Section Cited
CCR
101229.1(a)(1)
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101229.1 Sign in and Out(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement was not met as evidenced by...
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Director stated she would provide one week of updated sign in sheets (from preschool classrooms) by 3/17/23 via e-mail to LPA Lane with enough space for full legal signature of parents signing their child in and out as well as time of day (for drop off and pickup).
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Based upon LPA review of attendance sheets, Licensee did not ensure proper space for parents to sign full legal signature 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.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 6