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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701507
Report Date: 06/06/2023
Date Signed: 06/06/2023 10:03:27 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/14/2023 and conducted by Evaluator David Miller
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20230314140109
FACILITY NAME:JUMP PRESCHOOL INC.FACILITY NUMBER:
376701507
ADMINISTRATOR:JACQUELYN AGUIGUI-FAJARDOFACILITY TYPE:
850
ADDRESS:2705 VIA ORANGE WAY, SUITE ATELEPHONE:
(619) 303-1541
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91978
CAPACITY:50CENSUS: 19DATE:
06/06/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Lauren WynglarzTIME COMPLETED:
10:10 AM
ALLEGATION(S):
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Staff did not inform child's authorized person of injury
INVESTIGATION FINDINGS:
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On 06/06/2023 at 8:45 AM, Licensing Program Analyst (LPA), David Miller conducted an unannounced complaint inspection to deliver the findings to the above allegation. LPA advised the new Director; Lauren Wynglarz, of the inspection’s purpose. During the tour of the facility, there were 19 preschool children in care, and two (2) staff.

It was alleged that staff did not inform child’s authorized person of an injury

During the course of this investigation, interviews were conducted with the Director, staff members, daycare children, daycare parents, and records reviewed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 20-CC-20230314140109
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: JUMP PRESCHOOL INC.
FACILITY NUMBER: 376701507
VISIT DATE: 06/06/2023
NARRATIVE
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Director and staff denied that the facility did not inform a child’s authorized person of an injury to a child. The Director stated that there was an incident between two children when they fought over wooden blocks on 02/17/2023, but that staff did not observe any injuries on the day of the incident. Staff were informed over the weekend that Child 1 (C1) sustained an injury under the eye and that no medical treatment was sought. Based on inconsistent information there is a lack of evidence available at this time to draw definitive conclusions. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies cited.

An exit interview conducted, and report was reviewed with new Director, Lauren Wynglarz, who was provided a copy of this report, Licensee Rights (LIC 9098) and notice of site visit (LIC 9213). The notice of site visit must remain posted for 30 days. LPA observed the form LIC 9213 posted on the window of the office.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2