Incident investigation·August 1, 2023

On 8/1/2023, Licensing Program Analysts (LPAs) Ruby Ocegueda and Valerie Mireles conducted an unannounced case management \342\200\223 unusual incident inspection. LPAs met with Center Director, toured the facility, and took a census. The purpose of today's inspection was to follow-up on an unusual incident that was reported to Community Care Licensing (CCL) on 7/21/2023. The Incident reported was regarding child #1 falling and hurting his/her elbow. During today's inspection, LPAs interviewed staff regarding the unusual incident, reviewed file for child #1, reviewed and collected facility records, inspected the facility and area where child #1 fell. According to staff interview, it was reported that child #1 was in the circle time carpet area (of preschool classroom 1) when he/she tried to sit in a chair where a second child was already sitting. Child #1 fell back and hit his/ her elbow. Child initially reacted by laughing, however soon after began to complain and cry. Child did not allow staff to administer first aid on his/her elbow. Per interview, staff provided comfort to the child and monitored child until parent was called to pick up the child. Currently, child #1 is not attending the facility as the parent awaits results of medical examinations. Today, LPAs verified the sign in and out log for 7/21/2023 and observed that there were 15 children under the supervisor of two fully qualified teachers and one instructional aid. The carpet was inspected, and LPAs did not observe any tripping hazards. It is unknown if child did or did not obtain a fracture or other related injury at this time. Center Director will ensure that he obtains written directives from medical physician indicating any accommodations child might need upon his/her return to the facility and if they could not accommodate the child, they will inform the parent and obtain medical clearance before he/she returns to the facility. Today, LPA\342\200\231s determined that the facility met all reporting requirements as specified in Title 22 Regulation 101212 - Reporting Requirements. The incident is an isolated incident and not a result of lack of care and supervision. No deficiencies cited in the areas observed today. This report is to be made available to the public upon request.LIC 9213 Notice of Site Visit to be posted for 30 days.