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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701508
Report Date: 02/24/2025
Date Signed: 02/24/2025 04:38:38 PM

Document Has Been Signed on 02/24/2025 04:38 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:JUMP PRESCHOOL INC. - INFANT/TODDLERFACILITY NUMBER:
376701508
ADMINISTRATOR/
DIRECTOR:		LAUREN WYNGLARZFACILITY TYPE:
830
ADDRESS:2705 VIA ORANGE WAY, SUITE ATELEPHONE:
(619) 303-1541
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91978
CAPACITY: 16TOTAL ENROLLED CHILDREN: 11CENSUS: 9DATE:
02/24/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Lauren WynglarzTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On February 24, 2025, at 9:20 a.m., Licensing Program Analysts (LPAs), Angela Nguyen and Vicky Williamson conducted an unannounced Annual- Required inspection. LPAs met with Facility Representative, Lauren Wynglarz and disclosed the purpose of inspection. LPAs were led on a tour of the inside and outside of the facility by the Facility Representative. There were nine (9) infants, one (1) teacher and two (2) aides present in the infant room. The facility serves age 6 weeks – 24 months in the infant room. Hours of operation are Monday – Friday 7:00 a.m. to 5:00 p.m.

Disinfectants, cleaning solutions, and other hazardous items were made inaccessible to the children in care. No poisons were observed during the inspection. Furniture and equipment in the classroom was observed to be in good condition, free of sharp, loose or pointed parts. Infant changing table were within arms reach of the sink. LPA observed a play structure on the play ground to have broken edges and pointed parts accessible to children. LPAs observed the surface of the outdoor activity space was to contain debris, piles of wood branches, one (1) wood board with the sharp pointed end of two (2) nails protruding from the ends of the board, one (1) rusted nail exposed from the fencing, one (1) yard rake, two (2) tents in disrepair with the legs raised off the ground, not secured and the tent shade detached, and a piece of the chain link fencing protruding from the fence out towards the play area. Areas around high climbing equipment were observed to have sufficient cushioning material by the use of sand to absorb falls. Shade was observed in the outdoor activity space by the use of shade kite canopy however; the canopy was hanging low close to the ground. Drinking water is available both indoors and outdoors.

Facility Representative stated that there are no swimming pools or other bodies of water on the premises. Facility Representative staed there are no firearms or ammunition allowed or stored on the premises.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Angela Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2025
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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: JUMP PRESCHOOL INC. - INFANT/TODDLER
FACILITY NUMBER: 376701508
VISIT DATE: 02/24/2025
NARRATIVE
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The facility has a functioning carbon monoxide detector and a first aid kit that meet statutory requirements. The last fire drill was conducted and documented on 1/9/2025. Earthquake drill was conducted on1/21/2025.

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Capacity and limitations as specified on the license are being maintained. Children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than four (4) children in care. The name of the facility representative and the fully qualified teacher designated to act in the facility representative’s absence has been reported to the Department. LPA reviewed facility electronic sign in /sign out sheets. Facility Representative was reminded that the person who signs the child in and out of the facility shall use their full legal signature and record the time of day. LPA reviewed a sample of children’s files and observed the files were complete with contact information for authorized representative and/or relatives or others who can assume responsibility for medical assessment. Bottles containing formula contain the child’s name and date. Infant Needs and Service Plans for Child #1 (C1), Child #2 (C2), Child #3 (C3) and Child #4 (C4) were not updated quarterly. LPAs observed 15-minute sleep checks were not documented within 15 minute intervals for C1 and Child #5 (C5).

At least one person trained in CPR and Pediatric First Aid is present when children are at the facility. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Angela Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
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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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: JUMP PRESCHOOL INC. - INFANT/TODDLER
FACILITY NUMBER: 376701508
VISIT DATE: 02/24/2025
NARRATIVE
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LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.


This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records.
For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at:https://www.ada.gov/resources/child-care-centers/.

Facility Representative states she will submit updated LIC 309 and board of resolution to the Department within 30 days.

Facility Representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Three (3) Type B Deficiencies per California Code of Regulations, (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC 809-D.

An exit interview was conducted and report was reviewed with the Facility Representative, Lauren Wynglarz. The Facility Representative was provided a copy of their Appeal Rights (LIC 9058) and Notice of Site Visit (LIC 9213). Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Notice of Site Visit posted on the Parent board by the entrance.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Angela Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
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Document Has Been Signed on 02/24/2025 04:38 PM - It Cannot Be Edited


Created By: Angela Nguyen On 02/24/2025 at 12:13 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: JUMP PRESCHOOL INC. - INFANT/TODDLER
FACILITY NUMBER: 376701508

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.2(d)(2)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above due to the infant playground had debris, piles of wood branches, a wood board with nails protruding from the ends of the board, one (1) rusted nail exposed from the fencing, one (1) yard rake, a tent in disrepair and a piece of the chain link fencing protruding out towards the play area which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/28/2025
Plan of Correction
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Facility Representative stated she has contacted the Licensee to come up with a plan to fix the items listed above prior to the presence of children in the playground and will submit a plan to the SDRO, no later than 2/28/2025.
Type B
Section Cited
CCR
101429(a)(2)(B)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, record review, the licensee did not comply with the section cited above in that documentation for 15 minute sleep checks were not in 15- minute intervals for C1 and C5 (11:50 a.m- 12:39 p.m.) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/28/2025
Plan of Correction
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Facility Representative states she she will complete 15- minute sleep logs for C1 and C5 for the week of 02/25/2025 - 03/04/2025 and submit proof to SDRO no later than 03/05/2025.
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:Angela Nguyen
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 02/24/2025 04:38 PM - It Cannot Be Edited


Created By: Angela Nguyen On 02/24/2025 at 12:13 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: JUMP PRESCHOOL INC. - INFANT/TODDLER
FACILITY NUMBER: 376701508

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101419.3(a)
Modifications to Infant Needs and Services Plan
(a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in that infant needs and services plan for 4 out of 9 persons were not updated quarterly which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/05/2025
Plan of Correction
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Facility Representative stated she will ensure that infant Needs and Services Plans for C1, C2, C3 and C4 are updated and will submit proof of completion to SDRO no later than 03/05/2025.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Angela Nguyen
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


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