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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105085
Report Date: 11/06/2023
Date Signed: 11/06/2023 02:40:02 PM

Document Has Been Signed on 11/06/2023 02:40 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LEARNING JUNGLE MISSION VALLEYFACILITY NUMBER:
376105085
ADMINISTRATOR:KENDRA DEGROOTFACILITY TYPE:
830
ADDRESS:403 CAMINO DEL RIO SOUTHTELEPHONE:
(619) 309-3430
CITY:SAN DIEGOSTATE: CAZIP CODE:
92108
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 28DATE:
11/06/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Dolores GuadarramaTIME COMPLETED:
02:50 PM
NARRATIVE
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On 11/6/23 at 1:30 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced case management visit to follow up on an unusual incident report that occurred on 10/25/23. Upon arrival, LPA Lane met with Director Dolores (Liz) Guadarrama and toured the facility during naptime. Naptime census was as follows:
Room #8 had 9 children with staff members Savannah Isenman and Bryana Gilbert
Room #7 had 9 children with staff member Leticia Salgado
Room #6 had 7 children with staff members Nancy Alvernaz, Mayte Guzman and Kelsey Banning
Room #5 had 3 children with staff member Alexsandra Arballo

On 10/25/23, a child was injured while leaning over a small railing in the playground area. The stage area in the playground has two steps. The child fell over the railing sustaining a bruise to the nose and scratch above the lip when child hit the concrete below. The child had no other injuries but was taken to urgent care as a precaution. There have been no previous injuries involving the small railing, however Director stated they plan to fence off the area, so that the railing will no longer be needed. LPA observed that the railing was very low to the ground and not high enough for taller children. Until the area has been renovated with a new fence, the staff will supervise and help the children down the stairs in the area or redirect to another area. Parents were called immediately and provided a written incident report. The incident was reported to licensing on 10/26/23 via the duty line and provided the written report on 11/2/23.
See LIC809-D for Type B deficiency cited...
Exit interview conducted and report was reviewed with facility representative Dolores Guadarrama
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2023
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 11/06/2023 02:40 PM - It Cannot Be Edited


Created By: Keturah Lane On 11/06/2023 at 02:19 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEARNING JUNGLE MISSION VALLEY
FACILITY NUMBER: 376105085

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/06/2023
Section Cited
CCR
101238(a)

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101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by...
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Director stated that the railing will be replaced with a 4 foot fence by 12/6/23. Until then, Director stated that staff will supervise the area and help children down the stair area or redirect to another activity.
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Based upon LPA observation, the stair railing in the upper playground area was not tall enough for all children that use it 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:Tashima Daniel
LICENSING EVALUATOR NAME:Keturah Lane
LICENSING EVALUATOR SIGNATURE:
DATE: 11/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2023


LIC809 (FAS) - (06/04)
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