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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701507
Report Date: 07/13/2023
Date Signed: 07/13/2023 09:53:29 AM

Document Has Been Signed on 07/13/2023 09:53 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: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: 50TOTAL ENROLLED CHILDREN: 32CENSUS: 0DATE:
07/13/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Lauren Wynglarz TIME COMPLETED:
10:00 AM
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On 07/13/2023 at 09:00am an office meeting was conducted with the licensee, Letitia Zepeda (present via speakerphone) to discuss deficiencies cited on 06/02/2023 and 05/09/2023. In addition, the meeting was held to discuss the history of complaints. Present at the meeting was the Director, Lauren Wynglarz Licensing Program Manager (LPM), Tulam Vu; and Licensing Program Analysts (LPAs), David Miller, Vicky Williamson, and Martha Malane.

On 06/02/2023 during a case management inspection, the facility was cited Type B, Section 101239.1(b)(5) Napping Equipment: 8 out of 26 sleeping mats had foam that is exposed to children. On 05/09/2023, the facility was cited Type A, Section 101161(a): Limitations on Capacity: The facility was operating over capacity with 32 children. In addition, a complaint was substantiated on 12/01/2022 for staff not having current pediatric CPR and first aid certificate. It is noted that the licensee corrected all deficiencies in a timely manner.

LPM discussed with licensee, Letitia Zepeda and Director, Lauren Wynglarz the above deficiencies. The Director and licensee were provided with the following resources: A Technical Support Program (TSP) brochure, for questions related to the TSP, email: childcaretechnicalsupport@dss.ca.gov. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov. sdincidentreports@dss.ca.gov and the Duty Line 619-767-2248. Please submit your Unusual Incident Report by email to: SDIncidentReports@dss.ca.gov or by Fax at (619) 767-2203.

Licensee and Director were provided regulation Section 101161(a); Limitations on Capacity. Licensee and Director were informed that repeated violations or failure to comply with licensing laws and regulations may result in administrative action taken by the Department. Licensee Letitia Zepeda, and Director, Lauren Wynglarz stated they understand and will ensure the facility complies with all regulations and laws governing Child Care Centers. Licensee, Letitia Zepeda, authorized the Director, Lauren Wynglarz, to sign the report.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE: DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/13/2023
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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