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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105128
Report Date: 01/23/2025
Date Signed: 01/23/2025 02:58:00 PM

Document Has Been Signed on 01/23/2025 02:58 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 GORGEFACILITY NUMBER:
376105128
ADMINISTRATOR/
DIRECTOR:		REYNA OCAMPOFACILITY TYPE:
830
ADDRESS:6690 MISSION GORGE RD #R,S,T,QTELEPHONE:
(619) 280-6690
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 17DATE:
01/23/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Lauren PatlanTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On 1/23/25 at 1:40 PM Licensing Program Analyst (LPA) Annette Sutherland arrived at the facility to follow up on a self reported unusual incident report. LPA met with the Director Lauren Patlan. The facility was toured, and a census was taken. Appropriate ratios and supervision were observed. Facility had reported that on 12/17/24 child #1 was accidentally given child #2's milk. The child drank about half the bottle as staff realized quickly that the child had the wrong bottle. Staff discarded the milk shortly after. Child #1 was not due for a bottle, so child was not given their bottle.

Child #2 had an extra supply of milk available, so they were able to be fed the rest of the day of the incident. Parents were notified of the incident.

Staff involved were interviewed today. Bottle was labeled correctly with child’s name and date. Staff #1 failed to look at the name on the bottle before giving it to the child. Staff #1 did not communicate with other staff in the classroom, or check the board that contains infant bottle feedings. Staff #1 thought they were giving the right child the right bottle.
LPA inspected the refrigerator and found that each child bottle was labeled and dated.
Children's records were reviewed. Both children were on breast milk, and neither had any dietary restrictions.

See LIC 809D for Deficiency cited.

Exit interview conducted and report was reviewed with the Director Lauren Patlan. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
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 01/23/2025 02:58 PM - It Cannot Be Edited


Created By: Annette Sutherland On 01/23/2025 at 02:38 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 GORGE
FACILITY NUMBER: 376105128

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/23/2025
Section Cited
CCR
101223(a)(2)

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101223(a)(2)
Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by.....
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Correction was addressed day of incident on 12/17/24 . S1 accepted full responsibilty .Title 22 and company policy regarding safe handling of infant bottles was discussed. S1 reviewed and signed off on the training.
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Based on the fact that Child #1 was given Child #2's bottle to drink. This posed a potential risk to the health and safety of the child.
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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:Joelle Redding
LICENSING EVALUATOR NAME:Annette Sutherland
LICENSING EVALUATOR SIGNATURE:
DATE: 01/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/23/2025


LIC809 (FAS) - (06/04)
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