Incident investigation·May 1, 2024

This report is being amended to the report issued on 5/1/24. On 5/1/24, Licensing Program Analyst (LPAs) Crystal Ali and Carol Heath met with Director Denise Campos to conduct an unannounced case management inspection. The purpose of the case management was to follow up on unusual incident report (UIR) received 3/25/24. LPA Ali took a census of the children. Upon arrival, LPAs observed 58 daycare children and 16 staff member present today. Description of incident: Incident occurred on 3/25/24, child was napping and had a medical need will napping. The staff called the child mother first. Staff stayed with child and placed her on her side keeping close watch on her. The father of the child arrived first, then mother-in-law (grandma who is an EMT) with the child\342\200\231s medication, and mother arrived. Father informed staff to call 911 when he arrived since the child was not responding to him. Mother-in-law gave the child her medication and the ambulance arrived approx. 1-2 minutes later. Ambulance transported child to nearest hospital. The hospital then transported the child by helicopter to another hospital where her doctor is stationed. The child was released from the hospital. Child was able to return to daycare by providing doctors note and ER medication to the facility. After two weeks, an administration decision was made to have the child removed from daycare until the parents could provide a nurse or paraprofessional to be with the child each day due to their medical condition. The child\342\200\231s last day at daycare was 4/19/24. 3/28/24: LPA Ali arrived at facility and interview teacher Nancy Howell and obtain a facility roster. 5/1/24: During this inspection LPAs conducted interview with Teresa White and Denise Campos in individual private interviews. In addition, during the inspection, LPAs reviewed child file including medical documents. The facility failed to comply with the Incidental Medical Services (IMS) plan that requires a facility, and all staff to know what type of IMS is provided and the trained staff are available to provide IMS when a child is in need of services. Based on the information obtained, it is determined that the facility failed to comply with IMS regulation which resulted in day care staff not being fully prepared to care for a child that has certain medical needs. Therefore, the facility is being cited for Type B deficiency for the incident on 3/25/24. A copy of this report along with appeal rights were provided to the facility representative. The notice of site visit was given and must remain posted for 30 days. Exit interview conducted with Denise Campos, Director.