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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701504
Report Date: 11/03/2022
Date Signed: 11/03/2022 03:45:16 PM

Document Has Been Signed on 11/03/2022 03:45 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: 24DATE:
11/03/2022
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Tina Prowant, Facility DirectorTIME COMPLETED:
03:45 PM
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On November 3, 2022 at 2:00 PM, Licensing Program Analyst (LPA), Marie Hernandez conducted an unannounced Case Management Inspection at the facility for the purpose of health and safety check. LPA met with the facility director, Tina Prowant and LPA inspected the facility. There were twenty four children with six staff present during the case management inspection. The facility had several ceiling tiles replaced and LPA inspected for health and safety of children in care. During the inspection today, LPA did not observe any health or safety concerns.

An exit interview was conducted and a copy of the report and the appeal rights were discussed and provided to the facility director, Tina Prowant. The notice of site visit was provided and posted during the inspection.

SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2022
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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