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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105085
Report Date: 11/20/2024
Date Signed: 11/20/2024 10:13:14 AM

Document Has Been Signed on 11/20/2024 10:13 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 VALLEYFACILITY NUMBER:
376105085
ADMINISTRATOR/
DIRECTOR:		DOLORES GUADARRAMAFACILITY TYPE:
830
ADDRESS:403 CAMINO DEL RIO SOUTHTELEPHONE:
(619) 309-3430
CITY:SAN DIEGOSTATE: CAZIP CODE:
92108
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 32DATE:
11/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Dolores GuadarramaTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
NARRATIVE
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On 11/20/24 at 9:00 AM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced case management inspection to follow up on an unusual incident that was reported on 8/15/24. Upon arrival, LPA met with Director Dolores Guadarrama and toured the facility. LPA observed a total of 32 infants/toddlers in the following classrooms:

· Room 6 had 9 infants (0-12 months) with three staff members

· Room 7 had 7 infants (12-24 months) with three staff members

· Room 5 had 11 toddlers (18-36 months) with two staff members

· Room 8 had 5 toddlers (18-26 months) with 1 staff member

Appropriate ratios and capacity were observed. LPA observed appropriate care and visual supervision during the inspection. According to the unusual incident report received and interview with Director, a toddler (C1) was left behind on the playground during a transition and was unattended for approximately 1 minute. According to the Director, there were other staff on the other playgrounds, but no one was immediately aware that C1 had been left on the playground. During the transition in the hallway, back to the classroom, it was then noticed that C1 had been left behind and a staff member went to retrieve C1 from the playground. It was determined that C1 was not injured, and the incident was reported to the parents and Licensing. Director provided further training and disciplinary action to the teachers responsible.

Pursuant to Title 22 of the CA Code of Regulations, the following Type B deficiency was cited (please refer to LIC809-D). Exit interview conducted and report was reviewed with facility representative Dolores Guardarrama. Notice of site visit was provided and must remain posted for 30 days.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 11/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2024
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 11/20/2024 10:13 AM - It Cannot Be Edited


Created By: Keturah Lane On 11/20/2024 at 09:39 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 VALLEY
FACILITY NUMBER: 376105085

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/20/2024
Section Cited
CCR
101429(a)(1)

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101429 Responsibility for Providing Care & Supervision for Infants - (a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement was not met as evidenced by...
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Director provided additional training to staff members responsible for the supervision of classroom 7 (Infants 2) on 8/16/24 and also documented disciplinary action for the staff members. Director provided proof of disciplinary action and training documents to LPA Lane at the visit.
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Based upon incident report received on 8/15/24 and interview with Director, C1 was left unattended for approximately 1 minute on an internal licensed playground 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: 11/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2024


LIC809 (FAS) - (06/04)
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