Follow-up on corrections·April 4, 2024

An unannounced case management inspection was conducted today at 11:17am by Licensing Program Analyst (LPA), Bianca Mendez. LPA met with licensee Nikki Ray. In response to an Unusual Incident Report that occurred on March 27th, child (C1) was sitting on the toilet and fell off the toilet and hit their left side forehead which sustained a red bump on their left side of their forehead and child was seen by the doctor for medical attention. The licensee was interviewed on 4/4/24 at 11:17am and stated that they were informed of the incident regarding (C1) from staff but it did not occur to report the incident to Community Care Licensing. Licensee stated that the child was taken to the doctor to be checked for a concussion and came back to the facility with a doctor's note that they were clear to return to the facility. LPA interviewed 2 staff (S1-S2) who witnessed the incident with C1 that occurred on March 27th, 2024 between 11:30am-11:45am. S1 and S2 stated they were both in the bathroom at the same time supervising children before their nap time. S1 stated that C1 had leaned forward and fell off the toilet hitting their head on the toilet next to them. S1 stated they wrote the incident report on the Procare App because they had witnessed C1 fall and had spoken to C1's parent during pick to inform them of the incident.. S2 they stated they wrote a incident report on March 27th at 12:07pm and the report was made on the Procare app. C1's parent was called immediately because C1 was crying and advised C1's parent to take them to the doctor to have them checked. During today’s inspection, the facility was toured 1 child's record was reviewed. LPA observed 31 children in care. Based on record review and staff interviews. Facility did not not report the unusual incident in a timely manner to CCLD within the 7 day The following deficiency(ies) is being cited on the LIC809-D. Exit interview conducted and report was reviewed with the licensee Nikki Ray. Appeal Rights were provided.