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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701504
Report Date: 03/09/2022
Date Signed: 03/09/2022 05:17:00 PM

Document Has Been Signed on 03/09/2022 05:17 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 - INFANTFACILITY NUMBER:
376701504
ADMINISTRATOR:TINA PROWANTFACILITY TYPE:
830
ADDRESS:3605 AVOCADO BOULEVARDTELEPHONE:
(619) 569-7607
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 29DATE:
03/09/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Tina Prowant, Facility DirectorTIME COMPLETED:
03:15 PM
NARRATIVE
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On March 9, 2022 at 1:15 PM, Licensing Program Analyst (LPA), Marie Hernandez, conducted an unannounced Case Management Inspection due to an incident with child #1 and child #2. On 02/25/2022, 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 and the Director. However, the children could not be interviewed as they are nonverbal.

The facility reports that on 02/18/2022 at 5:34 PM, a twenty month old child #1 was left unattended outside in the play yard for approximately twenty seconds. The teachers were in the play yard with eight children but when they were leaving the play yard, they only had seven children with them. Child #1 was left behind in the enclosed play yard. The staff noticed they were one child short and went back to the play yard to retrieve child #1. 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 and conducted several interviews with the staff and the Director. The Director showed LPA video footage of the incident. The staff were lined up with the children and closed the gate behind them leaving child #1 in the enclosed play yard. The children could not be interviewed as they are infants and nonverbal. On the day of the incident, there were eight infants with three staff. The interviews revealed that the staff did not take an accurate headcount of the children, thus leaving child #1 behind in the enclosed play yard.
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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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 - INFANT
FACILITY NUMBER: 376701504
VISIT DATE: 03/09/2022
NARRATIVE
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On 02/17/2022, the Department received an incident report from the facility regarding the incident with child #2. The facility reports that on 02/16/2022 at 9:30 AM, a sixteen month old child #2 was walking with two staff and eight children when child #2 slipped and fell. Child #2 fell hitting the back of her head. The Director stated child #2 sustained a minor scratch on the back of child's head. The Director stated the parent was notified and took child to the doctors. LPA conducted several interviews with the staff and the Director. The interviews revealed that the incident was an accident.
The following deficiency is being cited on page 2 (LIC809D) for child #1 being left unattended in the play yard on 02/18/2022. The incident with child #2 was an accident and no citation is being issued for that incident of 02/16/2022.

An exit interview was conducted, and a copy of the report was provided to the Director. The Director was advised that acknowledgement of the receipt of the report is to be received within 24 hours.
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
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/09/2022 05:17 PM - It Cannot Be Edited


Created By: Marie Hernandez On 03/09/2022 at 04:28 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 - INFANT
FACILITY NUMBER: 376701504

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/10/2022
Section Cited
CCR
101229(a)(1)

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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.
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The Director stated she immediately wrote up the staff and placed them on probation for the incident with child #1. The Director will conduct an in-service to staff on care and supervision and will submit proof of in-service by 03/10/2022. The Director will also submit a written plan on how the facility
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On 02/18/2022 at 5:34 PM, a twenty month old child #1 was left unattended outside in the enclosed play yard for approximately twenty seconds until staff noticed after they were transitioning back to the classroom. The staff went back to retrieve the child. This poses an immediate health and safety risk to children in care.
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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 03/20/2022.

The appeal rights were discussed and provided.

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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:Cynthia Gray
LICENSING EVALUATOR NAME:Marie Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2022


LIC809 (FAS) - (06/04)
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