Incident investigation·December 4, 2024

On 12/4/2024, Licensing Program Analysts (LPAs) Miguel Herrera and Julio Rodriguez conducted an unannounced case management inspection at the facility. LPA met with Director, Amalia Deel and Assistant Director Elizabeth Calderon who accompanied LPA during a tour of the facility both inside and outside. LPA explained the purpose for the inspection and a census was taken. During the case management visit, facility observations were completed, facility records were reviewed, and interviews were conducted. Based on interviews and records review, LPA Herrera confirmed that the facility failed to report an unusual incident that occurred on 11/20/2024, in where child #1 was accidentally given a snack that contained cinnamon and caused child #1 to have an allergic reaction. Based on records review LPA Herrera observed that the facility had knowledge of child #1’s allergies to cinnamon since the facility had documentation on file that listed the child #1’s known allergies. Furthermore, during interviews it was disclosed that facility staff were notified on 11/20/2024 that the child was going to seek medical treatment for the allergic reaction. The unusual incident occurred at approximately 8:49am on 11/20/2024 and the facility self-reported the incident on 11/22/2024. Based on interviews and records review LPA Herrera confirmed that the facility failed to report the incident to the Fresno Regional Office either by telephone or fax within 24 hours of the occurrence. Furthermore, based on interviews and records review, LPA Herrera confirmed that the facility failed to report an unusual incident that occurred on 11/04/2024, in where child #1 was bitten by another day-care child on the back. The bite that child #1 sustained broke their skin. Furthermore on 08/30/2024, child #1 was bitten in the right cheek by another day-care child. The bite did not break skin, however there were bite mark indentations on child #1’s right cheek that caused bruising. Based on interviews and records review LPA Herrera confirmed that the facility failed to report the incident to the Fresno Regional Office either by telephone or fax within 24 hours of the occurrence. To be continued on 809-C. Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 809D. An exit interview conducted with Director Amalia Deel. A copy of this report and Appeal Rights were provided and discussed with Director Amalia Deel. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.