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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701503
Report Date: 04/06/2022
Date Signed: 04/06/2022 01:01:11 PM

Document Has Been Signed on 04/06/2022 01:01 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: 54DATE:
04/06/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Brianna Griego, Facility RepresentativeTIME COMPLETED:
01:00 PM
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On April 6, 2022, at 12:30 PM, Licensing Program Analyst (LPA), Marie Hernandez, conducted an unannounced Case Management Inspection to deliver the findings of 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 representative, Brianna Griego. Through the course of the incident review, LPA conducted several interviews with the staff, several children, and the Director.

The facility reported 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. Another child #2 stated he witnessed the incident that child #1 lost his balance and hit his head on the shelf. The staff stated child #1 bent down and hit his head on the corner of the shelf. The Director stated the parent was contacted and took child to the doctors. The child sustained an injury to the cheek area, in which required stitches. LPA inspected the classroom and shelf for safety hazards and did not observe any at time of visit. The staff and the Director were proactive by tending to child’s needs and by placing child proof protectors on the corners of the shelf. The incident is deemed an accident. This concludes the incident review.

An exit interview was conducted and the report was provided to the facility representative, Brianna Griego. The Notice of Site Visit was provided and posted by the facility representative.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2022
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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