Incident investigation·September 8, 2023

On 9/8/2023 at 1:05pm Licensing Program Analyst (LPA) Morgan Pringle conducted an Unannounced Annual Inspection at the facility. During LPA's inspection Director Lucy Macias informed LPA that last week on 8/31/2023 a child fell off of the metal "dome" outside and sustained a hairline fracture to their arm. Director stated that the child fell off of the structure and braced themselves with their wrist which caused the injury. LPA spoke with facility staff who stated the child walked inside and notified staff they had fallen off of the dome and onto their wrist. An ice pack was then applied and the child's parent walked in immediately after to pick their child up. The facility was notified the child sustained a fractured wrist on Friday 9/1/2023. Through interview and record review it was found that the facility did not report to Community Care Licensing that a child had sustained an injury while in care. It was determined that none of the staff saw the child fall off of the structure as well as the child informed staff herself of what had happened. Deficiencies Cited \302\267 Lack of supervision resulting in child sustaining injury while in care \302\267 Failure to report incident with 24 hours of being notified of the incident LPA Pringle informed Director that this report dated 9/8/2023 document(s) 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Pringle informed the Director to provide a copy of this licensing report dated 9/8/2023 that documents any Type A citation(s) 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. An immediate civil penalty of $500.00 is being assessed for the lack of supervision that resulted in a child sustaining an injury while in care. Licensee was reminded that California law requires facilities to report unusual incidents and/or injuries to children in care, to the child's parents, and to the Department within 24 hours by phone, fax, or email. Within seven (7) days from the incident, facilities must submit the Unusual Incident/Injury form (LIC 624) to the Department. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Lucy Macias.