376701503-9-29-2023-20-CC-MHOD-CW5TJ5-20230929144547

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701503
Report Date: 09/29/2023
Date Signed: 09/29/2023 02:46:33 PM

Document Has Been Signed on 09/29/2023 02:46 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	LEARNING JUNGLE RANCHO SAN DIEGO - PRESCHOOL		FACILITY NUMBER:	376701503
ADMINISTRATOR:	TINA PROWANT		FACILITY TYPE:	850
ADDRESS:	3605 AVOCADO BOULEVARD		TELEPHONE:	(619) 569-7607
CITY:	LA MESA	STATE: CA	ZIP CODE:	91941
CAPACITY:	72	CENSUS: 43	DATE:	09/29/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Krizia Beltran, Assistant Director		TIME COMPLETED:	03:05 PM

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 9/29/2023, at 12:30 pm., Licensing Program Analyst (LPA) Michelle Hood conducted an unannounced case management inspection regarding a self - reported incident wherein a 2.3 year old child was found unsupervised in the facility, while the class was on the playground. LPA met with Assistant Director, Krizia Beltran. LPA discussed the purpose of the inspection and was led on a tour of the facility.

The following ratios were observed: Classroom 5 had 16 children present with 4 staff, Classroom 6 had 13 napping children present in the classroom with one staff, and Classroom 7 had 14 napping children with 1 staff present.

Assistant Director stated on 09/22/2023 there were 12 pre-school children with three staff from classroom #5 on the playground. LPA and Assistant Director reviewed the video footage from 09/22/2023. A review of video footage disclosed the child on the playground area playing and running around. The teacher is observed positioned facing the playground area. The teacher is observed watching the child move closer to the playground exit door while a parent exits the playground. The teacher does a 360 spin then the child is no longer observed on the playground footage. The child was observed in classroom #5 with their authorized representative. The authorized representative then brings the child back to the playground. The authorized representative is seen talking to the teacher. The teacher was not aware of the child leaving the playground and entering the building unsupervised. The child was in the building unsupervised for approximately 1 to 2 minutes before the authorized representative noticed the child. Assistant Director stated that all staff were trained on the facility’s supervision on 09/14/2023.

Based on video footage and documentation, one (1) Type A deficiency of California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 809D.

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEARNING JUNGLE RANCHO SAN DIEGO - PRESCHOOL	FACILITY NUMBER: 376701503
	VISIT DATE: 09/29/2023

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
26
27
28
29
30
31
32

LPA informed Assistant Director, Krizia Beltran that this report dated 9/29/2023 documents one (1) Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed Assistant Director to provide a copy of this licensing report dated 09/29/2023 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. LPA provided Assistant Director, Krizia Beltran with form LIC 9224.

This is a repeat violation because the facility was cited for the same violation on 09/06/2023, for
violation of 101229 (a)(1) Responsibility for Providing Care and Supervision (a) The licensee
shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren)
shall be left without the supervision of a teacher at any time, except as specified in Sections.
101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. Immediate
civil penalty of $250 was assessed for repeated violation within 12 months.

The Director was provided appeal rights (LIC 9058 01/16) and their signature on this form acknowledges
receipt of these rights. Notice of Site Visit (LIC 9213) was provided to be posted at the facility for 30 days.
LPA observed form LIC 9213 posted. An exit interview was conducted.

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 09/29/2023 02:46 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEARNING JUNGLE RANCHO SAN DIEGO - PRESCHOOL	FACILITY NUMBER: 376701503
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/29/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/02/2023 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229(a) The licensee shall provide care and supervision... (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	The Assistant Director is going to conduct a zoning and supervision training, staff will watch the Supervising Children in Child Care Centers on CCLD website and submit the staff summary of the video, and what they staff feel they can do to ensure the children are supervised at all times.
	8 9 10 11 12 13 14	Based on documentation and video footage, the licensee did not comply with the section cited above, as a child left through the playground door, and into the building unsupervised for approximately 1 to 2 minutes before the authorized representative noticed the child inside of the facility unsupervised, which poses an immediate health, safety, and personal rights risk to persons in care.	8 9 10 11 12 13 14	The Assistant Director will submit the POC to SDRO no later than COB on 10/02/2023.
	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: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3