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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701503
Report Date: 09/06/2023
Date Signed: 09/06/2023 12:08:31 PM

Document Has Been Signed on 09/06/2023 12:08 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
MISSION VALLEY, 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: 60CENSUS: 34DATE:
09/06/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Assistant Director, Krizia Beltran.TIME COMPLETED:
11:00 AM
NARRATIVE
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On 9/6/2023, at 10:15am., Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection regarding a self - reported incident. LPA met with Assistant Director, Krizia Beltran. LPA discussed the purpose of the inspection and was led on a tour of the facility. The following ratios were observed: Classroom 5 had nine children present with one staff, eight additional children from classroom 5 were on the playground with one staff, Classroom 6 had eight children present in the classroom with one staff, six additional children from classroom 6 were on the playground with one staff, Classroom 7 were observed on the playground, there were 13 children and two staff present.

Assistant Director and staff stated that on 7/12/2023 from about 9:30am to 11:00am there were three teachers and 17 children on the preschool/pre-k playground. Per Assistant Director and teachers at 11:01am the teachers transitioned into the facility and Child #1 (C1) was left on the playground unattended. At approximately 11:10am, Staff #4 (S4) was walking to the toddler yard and observed C1 standing by the gate on the preschool/pre-k playground unsupervised. Per Director, C1 was on the playground for approximately 9 minutes without supervision.

Interviews were conducted with the assistant director, staff, and daycare children. A review of video footage disclosed that C1 was in the garden area of the playground while the teachers were transitioning the other children from the playground to the inside of the facility. C1 was on the playground without supervision for 9 minutes. Interviews with Assistant Director and Staff #1 (S1) disclosed that the attendance log used when transitioning children was not utilized during the time of the incident. S4 stated that she observed C1 on the playground unattended, she opened the gate to the playground and brought C1 to the Director’s office. S4 stated that C1 was observed to be crying, however no medical attention was required. Assistant Director stated that C1's authorized representative was contacted immediately. Assistant Director stated that all staff have been trained on the facility’s supervision and roll call policy and procedure.

See LIC 809C Continuation...

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: LEARNING JUNGLE RANCHO SAN DIEGO - PRESCHOOL
FACILITY NUMBER: 376701503
VISIT DATE: 09/06/2023
NARRATIVE
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Based on interviews and video footage, one (1) Type A deficiency of California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 809D.

LPA informed Assistant Director, Krizia Beltran that this report dated 9/6/2023 documents one (1) Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed Assistant Director to provide a copy of this licensing report dated 9/6/2023 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. LPA provided Assistant Director, Krizia Beltran with form LIC 9224.

An exit interview was conducted with Assistant Director, Krizia Beltran, a copy of this report along with the Appeals Rights (LIC 9058) was provided. A Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Director post Notice of Site Visit on the door at the entrance.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/06/2023 12:08 PM - It Cannot Be Edited


Created By: Vicky Williamson On 09/06/2023 at 07:02 AM
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: 09/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/25/2023
Section Cited
CCR
101229(a)(1)

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101229(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 is not met as evidenced by:
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Assistant Director stated that she has retrained staff on supervision, policy and procedures. Asst. Director stated that will view the video Supervising Children in Child Care Centers on CCLD website with staff and submit a staff sign in sheet, summary of the video, and a written plan of correction to the
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Based on interview and record review, the licensee did not comply with the section cited above, as Child 1 (C1) was left on the playground alone and was found on the playground without supervision, which poses an immediate health, safety, and personal rights risk to persons in care.
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 SDRO by 9/25/23 .

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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:Vicky Williamson
LICENSING EVALUATOR SIGNATURE:
DATE: 09/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/06/2023


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