Incident investigation·October 21, 2022

On 10/21/22 Licensing Program Analyst (LPA) Joseph Pacheco arrived at the facility to conduct an unannounced case management inspection. LPA met with Director, Tasha Avalos to discuss an unusual incident that facility self-reported to the Fresno Child Care Regional Office on 9/26/22. On 9/23/22 day care staff were changing Child #1’s diaper. During the diaper change, staff observed blood on the inside of the diaper. Child #1’s authorized representative was contacted and taken to their doctor for an examination. Injury was determined to be due to a scratch but a cause of the scratch was unable to be determined. Facility staff fulfilled Mandated Reporter requirements and reported the situation to Child Protective Services (CPS) who determined the situation “Does not meet the requirements for intervention”. Child #1 continues to attend the facility and has had no further issues. This appears to be an isolated incident and staff took appropriate measures to address the child’s injury, following appropriate policies, regulations and reporting requirements. While taking a census of the Infant Room, LPA observed Child #2 asleep in a crib while being wrapped up in a blanket. LPA reviewed the files of Child #1 and Child #2. Staff were interviewed during today’s inspection. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D). Licensee was provided a copy of their appeal rights. Exit interview conducted and report was reviewed with Director, Tasha Avalos. This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.