Follow-up on corrections·May 10, 2023

On May 10th, 2023 Licensing Program Analysts (LPA) Soleil Marx and Amanda Sutter met with Director, Amy Lindstrom, for a case management inspection. LPAs observed a census of 18 preschool age children being supervised by four staff. It was discovered that a child sustained a serious injury in care on 05/04/2023, which resulted in the child's authorized representatives picking up the child early and taking the child in to the emergency room. An x-ray determined the injury to be a broken tibia and fibula. Due to the fact that the child's authorized representative sought medical treatment, the incident should have been reported to the LPA or Regional Office within 24 hours of the incident occurring. LPA did not receive any communication or an Unusual Incident Report regarding the incident. Director stated they did not know they needed to report the incident to licensing within 24 hours and that they only reported it to the district. Not informing LPA or Regional Office of an incident which requires medical attention within 24 hours is a violation of reporting requirements. Title 22 deficiencies are cited on 809-D Report reviewed with Director, exit interview conducted, appeal rights provided. Notice of Site Visit was provided and must remain posted for 30 days.