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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623725
Report Date: 07/09/2026
Date Signed: 07/09/2026 03:14:54 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/28/2026 and conducted by Evaluator Payenda Seddiqi
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20260528170252
FACILITY NAME:LEARNING JUNGLE MORSEFACILITY NUMBER:
343623725
ADMINISTRATOR:CARRIE NGUYENFACILITY TYPE:
850
ADDRESS:1940 MORSE AVENUETELEPHONE:
(312) 493-1570
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY:90CENSUS: 21DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Carrie NguyenTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility is not reporting injuries to parent/guardian.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Payenda Seddiqi and Erwina Pascual-Golamco met with Facility Representative (FR) Carrie Nguyen to deliver findings of the above allegation.

Throughout the course of the investigation, LPAs toured the facility, observed staff provide care to children, and conducted interviews. LPA’s witness statement and staff interview revealed an incident that resulted in a child injury and the facility did not report injury to parent/guardians. The preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.

Title 22 Deficiency has been issued on the attached LIC 9099-D. Exit interview conducted and report was reviewed with the Facility Representative, Carrie Nguyen. A notice of site visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Payenda Seddiqi
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 03-CC-20260528170252
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LEARNING JUNGLE MORSE
FACILITY NUMBER: 343623725
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/09/2026
Section Cited
CCR
101226.3(b)
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101226.3 Observation of the Child
(b) Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record.
This requirement was not met as evidence by:
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Facility representative (FR) stated they have a scheduled staff meeting on 07/16/26 that will include providing incident reports. FR stated she will email agenda and attendance sheet of staff to LPA by POC due date.
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LPAs interviews and statements revealed that staff failed to provide authorized representative with an incident/injury report which poses a potential risk to health, safety and or personal rights of children in care.
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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: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Payenda Seddiqi
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/28/2026 and conducted by Evaluator Payenda Seddiqi
COMPLAINT CONTROL NUMBER: 03-CC-20260528170252

FACILITY NAME:LEARNING JUNGLE MORSEFACILITY NUMBER:
343623725
ADMINISTRATOR:CARRIE NGUYENFACILITY TYPE:
850
ADDRESS:1940 MORSE AVENUETELEPHONE:
(312) 493-1570
CITY:SACRAMENTOSTATE:CAZIP CODE:
95825
CAPACITY:90CENSUS: 21DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Carrie NguyenTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility is not providing adequate supervision which resulted in child being injured.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Payenda Seddiqi and Erwina Pascual-Golamco met with Facility Representative Carrie Nguyen to deliver findings.

Throughout the course of the investigation, LPAs toured the facility including all areas accessible to children and conducted interviews with staff and parents. LPA's staff interviews revealed that they talk to children and help children communicate with each other when a conflict arises. Parent interviews revealed no concerns regarding the above allegations. LPAs interviews and statements were inconsistent to corroborate the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Exit interview conducted and report was reviewed with the Facility Representative, Carrie Nguyen. A notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Payenda Seddiqi
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3