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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701503
Report Date: 03/09/2022
Date Signed: 03/09/2022 05:20:02 PM

Document Has Been Signed on 03/09/2022 05:20 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 RANCHO SAN DIEGO - PRESCHOOLFACILITY NUMBER:
376701503
ADMINISTRATOR:TINA PROWANTFACILITY TYPE:
850
ADDRESS:3605 AVOCADO BOULEVARDTELEPHONE:
(619) 569-7607
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 64DATE:
03/09/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Tina Prowant, Facility DirectorTIME COMPLETED:
05:20 PM
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On March 9, 2022 at 3:15 PM, Licensing Program Analyst (LPA), Marie Hernandez, conducted an unannounced Case Management Inspection due to an incident with child #1. On 03/03/2022, the Department received the incident report from the facility for child #1. LPA met with the facility director, Tina Prowant. LPA conducted several interviews with the staff, children and the Director.

The facility reports that on 02/24/2022 at 10:15 AM, child #1 was playing in the classroom and hit his upper left side cheek on the lower shelf in the classroom. On the day of the incident, there were twenty four children with two staff. Child #1 stated he lost his balance and bumped his head on the shelf. The staff stated child #1 bent down and hit his head on the corner of the shelf. The child sustained an injury to the cheek area. The Director stated the parent was contacted and took child to the doctors. LPA inspected the classroom and shelf. The Director stated after the incident, they placed child proof corner protectors on the shelf.

However, the incident requires further review at this time. An exit interview was conducted with the facility director, Tina Prowant.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2022
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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