Incident investigation·July 24, 2024

An unannounced case management inspection was conducted today at 2:56pm by Licensing Program Analyst (LPA), Bianca Mendez. LPA met with licensee Denise Alioto. In response to an Unusual Incident Report received by the Department on 7/5/24. Child (C1) got up from one spot and tripped over their own feet and ran towards the shelf resulting in cut above their left side forehead that required medical attention. The licensee was interviewed on 7/24/24 at 2:56pm and stated that on 7/5/24 at 11:40am, C 1 lost their footing and tripped hitting their left side of their forehead requiring medical attention and receiving 4 staples. Licensee stated that , parent (P1) was notified immediately and staff are maintaining a trip free zone in the classroom. Licensee stated that the incident was also documented on the procare app. Parent (P1) was interviewed on 7/11/24 and stated that C1 was doing fine and received 4 staples and had them removed on 7/11/24. P1 stated the incident occurred on 7/5/24 and was immediately informed at 10:40am from a phone call from staff. Staff (S1-S2) were interviewed on 7/24/24.S1 stated they did not witness the incident but as soon as staff had notified them of the incident, they cleaned up C1's would and placed a ice pack on C1's forehead and keeping pressure on their cut. S1 stated they immediately called P1 around 10:15am and then when P1 did not answer they continued to call until they got a response.S2 stated that they were standing and saw that the child C1 was going towards the a toy on the shelf, it appeared that C1 tripped over their own foot and slammed first into the shelf and was crying. When C1 turned they noticed that there was blood on their left side of their forehead. During today's visit, LPA Bianca Mendez received an additional report of the incident documented on the Procare app. Based on information reported and interviews conducted it could not be determined that there was a lack of supervision and that C1 had tripped on their own feet. There were no deficiencies cited during today’s inspection. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee.