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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701504
Report Date: 10/23/2023
Date Signed: 10/23/2023 03:28:34 PM

Document Has Been Signed on 10/23/2023 03:28 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 - 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: 31CENSUS: 25DATE:
10/23/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH: Krizia Beltran. TIME COMPLETED:
03:45 PM
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On 10/23/2023, at 1:30pm., Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection to follow up on a self - reported incident. Upon arrival, LPA Williamson met with Assistant Director, Krizia Beltran. LPA discussed the purpose of the inspection and proceeded to tour the facility. There were 25 children present with six (6) staff.

On 9/1/2023, the director self- reported an alleged personal rights violation involving Staff 1 (S1) and Child 1 (C1). Per Assistant Director, the alleged incident dates and time are unknown. Interviews were conducted with directors and staff members.

No deficiencies cited during today's inspection. An exit interview was conducted with Assistant Director, Krizia Beltran and a copy of this report, Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2023
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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