<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701503
Report Date: 05/10/2022
Date Signed: 05/10/2022 05:35:14 PM

Document Has Been Signed on 05/10/2022 05:35 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: 62DATE:
05/10/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Tina Prowant, Facility DirectorTIME COMPLETED:
04:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On May 10, 2022 at 3:00 PM, Licensing Program Analyst (LPA), Marie Hernandez, conducted an unannounced Case Management Inspection due to an incident with child #1. On 04/06/2022, the Department received the incident report from the facility for child #1. LPA met with the facility director, Tina Prowant. LPA conducted several confidential interviews with the staff, child #1 and the Director.
The facility reports that on 04/05/2022 at 4:27 PM, child #1 was left unsupervised outside in the play yard. The amount of time child was left unsupervised could not be determined as the Director and staff were unsure of how long child #1 was left unsupervised. At time of incident, there were three teachers with sixteen children outside in the play yard at time of incident. Child #1 was left unsupervised behind the enclosed play yard gate for an undetermined amount of time until staff noticed the gate door was left opened and unlatched. The staff went to close the gate and that is when staff observed child #1 behind the gate. The staff retrieved child #1 with no further incident. This poses an immediate health and safety risk to children in care.

The Director stated the parent was immediately contacted and advised about the incident. Through the course of the incident review, LPA inspected the play yard along with the gate, and conducted several confidential interviews with the staff, child #1 and the Director. The Director stated there was no video footage to show LPA as it erases after a period of time. The interviews revealed that the staff did not observe child #1 go behind the play yard gate unsupervised. The interviews also revealed that the play yard gate latch was broken and not working properly. However, on 04/06/2022, the play yard gate latch was repaired. During the tour, LPA inspected and observed that the play yard gate latch was repaired and working properly during today's visit. On 04/06/2022, the facility conducted an in-service to staff on supervision due to the incident with child #1.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 05/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/10/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 - PRESCHOOL
FACILITY NUMBER: 376701503
VISIT DATE: 05/10/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The following deficiency is being cited on page 2 (LIC809D) for child #1 being left unsupervised in the play yard on 04/05/2022.

An exit interview was conducted, and a copy of the report, Acknowledgement of Receipt of Licensing Reports and the appeal rights were provided to the Director. The Director was advised that acknowledgement of the receipt of Licensing reports are to be received within 24 hours.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 05/10/2022 05:35 PM - It Cannot Be Edited


Created By: Marie Hernandez On 05/10/2022 at 04:25 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: LEARNING JUNGLE RANCHO SAN DIEGO - PRESCHOOL
FACILITY NUMBER: 376701503

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/11/2022
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
101229 Responsibility for Providing Care and Supervision - (a) The licensee shall provide care and supervision...(1) No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation. This requirement was not met as evidenced by staff and the Director.
1
2
3
4
5
6
7
The Director stated they repaired the play yard gate latch and conducted an in-service to staff on supervision due to the incident with child #1. The Director will provide proof of an in-service to staff on care and supervision and will submit proof of in-service by 05/11/2022. The Director will also submit a written plan on how the facility
8
9
10
11
12
13
14
On 04/05/2022 at 4:27 PM, child #1 was left unsupervised behind the enclosed play yard gate for an undetermined amount of time until staff noticed the gate door was left opened and the latch broken. The staff went to retrieve child #1 behind the gate. This poses an immediate health and safety risk to children in care.
8
9
10
11
12
13
14
will ensure that this type of incident does not occur again and will submit the written plan along with the in-service to staff to the Licensing Office by 05/11/2022.

The appeal rights were discussed and provided.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Cynthia Gray
LICENSING EVALUATOR NAME:Marie Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 05/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/10/2022


LIC809 (FAS) - (06/04)
Page: 3 of 3