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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364817503
Report Date: 08/17/2021
Date Signed: 08/17/2021 11:10:37 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/13/2021 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210813130211
FACILITY NAME:JUMPSTART LEARNING CENTER, INC.FACILITY NUMBER:
364817503
ADMINISTRATOR:MIREYA GOMEZFACILITY TYPE:
850
ADDRESS:10213 BASELINE ROADTELEPHONE:
(909) 373-1831
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:81CENSUS: 9DATE:
08/17/2021
UNANNOUNCEDTIME BEGAN:
08:06 AM
MET WITH:Mireya Gomez/DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Facility has pests.
Facility does not provide a safe environment for day care children.
Facility is in disrepair.
INVESTIGATION FINDINGS:
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On 8/17 at 8:15 AM, Licensing Program Analyst (LPA) Patricia Berry conducted a complaint investigation. LPA was granted access into the facility and met with director. LPA toured facility and took a census. LPA conducted interviews with staff and children.

Allegation: Facility has pests. It was alleged there are animal droppings outside of building. LPA observed what appeared to be animal droppings outside on a windowsill in the front of the preschool classroom. Therefore, based on LPA's observation the above allegation Facility has pests, is substantiated.



(Cont on 9099C)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
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 4
Control Number 09-CC-20210813130211
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: JUMPSTART LEARNING CENTER, INC.
FACILITY NUMBER: 364817503
VISIT DATE: 08/17/2021
NARRATIVE
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Allegation: Facility does not provide a safe environment for day care children. It was alleged there are safety hazards for kids outside on playground area. It was alleged the playground cover under the rubber chips is lifting.

LPA observed the play yard to be unsafe for the children. LPA observed the lining under the rubber chips lifting in several areas on the play yard which could potentially be a tripping hazard for the children. Based on LPA's observation the play yard is unsafe for the children therefore, allegation Facility does not provide a safe environment for day care children, is substantiated.

Allegation: Facility is in disrepair. It was alleged the facility is in disrepair. It was alleged there are broken cabinets and broken toys as well as broken toilets, fence is leaning and other items. LPA observed there were broken toys that were in a basket outside of the classroom; according to the director the toys were being thrown away. LPA observed a broken cabinet, which the director fixed right away. LPA did not observe any broken toilets, however, and the fence is leaning. LPA also observed drinking fountain that is hanging off the foundation. Based on LPA's observations of broken toys, broken cabinet and broken water fountain, and the fence leaning the above allegation is substantiated.

Based on LPA’s observations the preponderance of evidence standard has been met, therefore the above allegations are found to be SUNSTANTIATED. California Code of Regulations, is being cited on the attached LIC 9099D.


Exit interview conducted with director and report given.
Appeal rights provided to director.

LPA observed director post Notice of Site Visit.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 09-CC-20210813130211
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: JUMPSTART LEARNING CENTER, INC.
FACILITY NUMBER: 364817503
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2021
Section Cited
CCR
101238(a))(1)
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Buildings and Grounds
(a) (1)The licensee shall take measures to keep the center free of flies, other insects, and rodents.

This requirement was not met as evidenced by
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Director called pest control right away and stated she will send proof of service completed to CCL by 8/23.
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Based on LPA's observation of animal dropping on a windowsill outside of classroom.
This is a potential risk to the health and safety of children in care.
Plan of correction discussed with director.
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Type B
08/23/2021
Section Cited
CCR
101238.2(d)
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Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained

This requirement was not met as evidenced by
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Director stated she will have the play yard repaired and will have children play in another area until the play yard is repaired. Director stated she will send proof the play yard repair to CCL by 8/23.
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Based on LPA's observation the lining under the rubber chips is lifting, which can cause tripping hazards for the children. This is a potential risk to the health and safety of children in care.
Plan of correction discussed with director
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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.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 09-CC-20210813130211
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: JUMPSTART LEARNING CENTER, INC.
FACILITY NUMBER: 364817503
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2021
Section Cited
CCR
101238(a)
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Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement was not met as evidenced by
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Director stated the water fountain will be removed, and the fence will be braced. Director stated any other items in disrepair will be fixed and proof will be sent to CCL by 8/23. Director will also have a training on regulation 101238 (a) and send proof of training to CCL by 8/23
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Based on LPA's observations the facility is in disrepair. Broken toys, broken water fountain, fence leaning, broken cabinet, etc.This is a potential risk to the health and safety of children in care.
Plan of correction discussed with director
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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.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4