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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701506
Report Date: 11/01/2022
Date Signed: 11/07/2022 11:07:19 AM

Document Has Been Signed on 11/07/2022 11:07 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LEARNING JUNGLE ADAMS AVENUE - INFANTFACILITY NUMBER:
376701506
ADMINISTRATOR:XAVIER DEANFRASIOFACILITY TYPE:
830
ADDRESS:3844 ADAMS AVENUETELEPHONE:
(619) 301-7025
CITY:SAN DIEGOSTATE: CAZIP CODE:
92116
CAPACITY: 36TOTAL ENROLLED CHILDREN: 25CENSUS: 19DATE:
11/01/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Xavier DeanfrasioTIME COMPLETED:
02:55 PM
NARRATIVE
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This is an amended version of a report created on 11/1/22
On 11/1/22 at 1:45pm, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced case management inspection to follow up on three (3) separate self-reported incidents to the San Diego Regional Office. Upon arrival, LPA met with Director, Xavier Deanfrasio and disclosed the purpose of the inspection. LPA toured the facility. There were 19 infant children and five (5) staff members present.

Two (2) separate unusual incident reports (UIRs) were submitted to the San Diego Regional Office (SDRO) on 10/12/22. UIRs were submitted alleging a possible personal rights violation and lack of supervision which occurred on or about 10/11/22. A third UIR was submitted on 10/21/22 alleging a possible personal rights violation on or about 10/11/22.

The first UIR alleging a possible personal rights violation was reviewed. Based on interviews with staff and parents and video footage reviewed, Staff 1 (S1) was observed yelling in the face of and handling Child 1 (C1) in a rough manner. On or about 10/11/22, S1 was observed grabbing the arm of C1, picking C1 up and roughly placing C1 on the floor. Based on information obtained, S1 violated the personal rights of C1.

The second UIR alleging lack of supervision was reviewed. Based on interviews with staff and video footage reviewed it was determined that on 10/11/22, Staff 2 (S2) was observed leaving classroom 4 at 12:55pm and left four (4) sleeping infants unsupervised. Based on video footage reviewed at 12:55:36pm the director was observed entering the classroom to supervise the infants. Based on information obtained, infants were left unsupervised for about 36 seconds.

The third UIR alleging a possible personal rights violation was reviewed. Based on interviews and video footage reviewed, S3 was observed grabbing C2 under the arm, picking C2 up and roughly placing C2 in a chair. Based on information obtained, S3 violated the personal rights of C2.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, two (2) Type A deficiencies were cited on LIC809-D. See LIC809-C continuation...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2022
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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: LEARNING JUNGLE ADAMS AVENUE - INFANT
FACILITY NUMBER: 376701506
VISIT DATE: 11/01/2022
NARRATIVE
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LPA, Martha Malane informed Director, Xavier Deanfrasio that this report dated 11/1/22 documents two (2) Type A citations 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, Martha Malane informed Director, Xavier Deanfrasio to provide a copy of this licensing report dated 11/1/22 that documents any Type A citations 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.

Exit interview conducted with Director, Xavier Deanfrasio.

LIC 9213 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.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/07/2022 11:09 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 11/07/2022 08:19 AM


Created By: Martha Malane On 11/01/2022 at 01:58 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEARNING JUNGLE ADAMS AVENUE - INFANT
FACILITY NUMBER: 376701506

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/09/2022
Section Cited
CCR
101223(a)(3)

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101223(a)(3) Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature…
This requirement was not met as evidenced by:
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Director stated S1 was terminated on 10/11/22 and S3 was terminated on 10/18/22. Director stated he will submit a written plan of correction and sign-in sheet of staff training to the SDRO by 11/9/22. Future staff will be trained through Learning Jungle's on-boarding process.
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Based on interviews and video footage reviewed, the licensee did not comply with the section cited above in that the personal rights of C1 and C2 were not accorded as S1 was observed yelling at and handling C1 in a rough manner and S3 was observed handling C2 in a rough manner which poses an immediate health, safety or personal rights risk to persons in care.
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Type A
11/09/2022
Section Cited
CCR101229(a)(1)

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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… Supervision shall include visual observation.
This requirement was not met as evidenced by:
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Director stated S2 was terminated on 10/14/22. Director stated he will submit a written plan of correction and sign-in sheet of staff training to the SDRO by 11/9/22. Future staff will be trained through Learning Jungle's on-boarding process.
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Based on interviews and video footage reviewed, the licensee did not comply with the section cited above in that four (4) napping infants were left unsupervised which posed an immediate health, safety or personal rights risk to persons 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:Tulam Vu
LICENSING EVALUATOR NAME:Martha Malane
LICENSING EVALUATOR SIGNATURE:
DATE: 11/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/07/2022


LIC809 (FAS) - (06/04)
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