complaint·January 23, 2025

Three staff were interviewed on 1/17/25. Two staff members were present during the incident and indicated C1 fell and tripped on the “mountain” steps and rolled their ankle. C1 was initially limping and was offered ice to prevent swelling. Both staff members present reported C1 began walking after icing the foot. All staff indicated C1 was using both legs throughout the day and did not seem injured. S3 indicated C1 would occasionally hop on uninjured foot and S3 asked multiple times if C1 wanted to contact their parent. S3 stated C1 repeatedly indicated they did not want their parent to be notified of the incident. S3 notified parent upon pick up that an accident occurred. One child (C1) was interviewed on 11/18/24 and stated there were approximately 20 children and two staff present during the incident. C1 stated that one staff member was preparing a meal, and the other was on their phone when the accident occurred. C1 said another child pushed them into the wall causing them to stub their toe. C1 stated initially they could walk and move the toe after the injury occurred. C1 indicated that they could still walk and requested the staff did not call their parent. C1 stated the injury became more painful later in the day and required medical attention the following day. Records were obtained indicating C1 was seen by a physician on 11/3/24. Results indicated possible fracture to the 4th or 5th toe. C1 was referred to an orthopedic physician. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. During today’s inspection, the facility was toured, and LPA observed 3 staff and 10 children present. Facility was operating within licensing capacity and ratio requirements. No Title 22 violations were observed on today’s visit. Exit interview conducted and report was reviewed with the facility representative Rubimaria Beck. Appeal rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.