376701504-10-30-2023-20-CC-VWIN-CX525K-20231030170540

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701504
Report Date: 10/30/2023
Date Signed: 10/30/2023 05:05:51 PM

Document Has Been Signed on 10/30/2023 05:05 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 - INFANT		FACILITY NUMBER:	376701504
ADMINISTRATOR:	TINA PROWANT		FACILITY TYPE:	830
ADDRESS:	3605 AVOCADO BOULEVARD		TELEPHONE:	(619) 569-7607
CITY:	LA MESA	STATE: CA	ZIP CODE:	91941
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 31	CENSUS: 21	DATE:	10/30/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	03:55 PM
MET WITH:	Krizia Beltran		TIME COMPLETED:	05:10 PM

NARRATIVE

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On 10/30/2023, at 3:50pm., Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection regarding a self - reported incident. 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: Room 1 had five children present with two staff, Room 2 had three children present with one staff, Room 3 had six children (ages 18 - 36 months) with two staff, Room 4 had seven children (ages 18 - 36 months) present with two staff.

On 9/1/2023, the director self- reported an incident that was reported to Regional Director, Nichelle Gissler. The incident involved Staff #1 (S1) [See Confidential Names] using inappropriate language with daycare children. Per Regional Director, Assistant Directors Jaycie Hall and Krizia Beltran, S1 and Staff #2 (S2) [See Confidential Names] the date and time of the incident is unknown.

Assistant Director reported that S1 was observed in Room 1 by S2 using inappropriate language such as “dummy” and “stupid” when engaging with daycare children. Interviews were conducted with the Regional Director, Assistant Directors, S1 and S2. S2 stated that she observed S1 using “dummy” and “stupid” when speaking to daycare children. S1 acknowledged that he used inappropriate language which included the words “dummy” and “stupid” when engaging with daycare children. S1 stated that the inappropriate language was used in a playful manner and there was no malice intent against any daycare children.

A review of facility records for S1 was reviewed. Based on staff interviews and S1’s own admission that he spoke inappropriately to daycare children using the words, “dummy” and “stupid”, S1 violated the personal rights of daycare children. S1 is no longer an employee at the facility.

The Assistant Director stated that training regarding the personal rights of children will be conducted with all staff. Based on staff interviews and S1’s own admission, one (1) Type B deficiency of California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 809D.

See LIC 809C Continuation…

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023

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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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 - INFANT	FACILITY NUMBER: 376701504
	VISIT DATE: 10/30/2023

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This is a repeat violation due to facility was cited for the same violation on 9/6/2023, for violation of 101223 (a)(1) Personal Rights. An immediate civil penalty of $250 was assessed for repeated violation within 12 months.

An exit interview was conducted with Assistant Director, Krizia Beltran, a copy of this report along with the Appeals Rights (LIC 9058) was provided. A Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Assistant Director post Notice of Site Visit to the door at the entrance.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/30/2023 05:05 PM - It Cannot Be Edited

Created By: Vicky Williamson On 10/30/2023 at 04:22 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 RANCHO SAN DIEGO - INFANT	FACILITY NUMBER: 376701504
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/30/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/10/2023 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	101223(a)(1) Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Regional Manager Nichelle Gissler stated via email during LPA's visit that she will conduct a training for staff regarding personal rights and submit a summary of the training and staff sign in sheet to the SDRO, no later than 11/10/23.
	8 9 10 11 12 13 14	Based on interview and record review, the licensee did not comply with the section cited above as the personal rights of daycare children were not accorded as by S1's own admission he used inappropriate language with daycare children, which poses a potential health, safety, or personal rights risk to persons in care.	8 9 10 11 12 13 14
	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:

Tulam Vu

LICENSING EVALUATOR NAME:

Vicky Williamson

LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023

LIC809 (FAS) - (06/04)

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