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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701506
Report Date: 10/25/2022
Date Signed: 10/25/2022 01:49:09 PM

Document Has Been Signed on 10/25/2022 01:49 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
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: 14DATE:
10/25/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Xavier DeanfrasioTIME COMPLETED:
02:00 PM
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On 10/25/22 at 1:00pm, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced case management inspection to follow up on two self-reported incidents to the Department. Upon arrival, LPA met with Director, Xavier Deanfrasio and disclosed the purpose of the inspection. LPA toured the facility. Hours of operation are Monday – Friday 7:30am – 5:00pm. There were 14 children and three (3) staff members present. LPA observed children napping.

Unusual incident reports (UIR) were submitted to the Department on 10/12/22. UIRs were submitted alleging a possible personal rights violation and lack of supervision on 10/11/22. Records were reviewed and obtained during inspection. Due to insufficient information available at this time, the incidents require further review.

No deficiencies were issued.

LPA conducted an exit interview with Director, Xavier Deanfrasio. A notice of site visit was given and must remain 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: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2022
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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