Incident investigation·November 4, 2025

On November 4, 2025, Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced Case Management \342\200\223 Incident inspection at the facility. Upon arrival, LPA initially met with Site Supervisor Gloria Velez and toured the facility indoor and outdoor areas. A census of children in care was taken. The purpose of this inspection was to follow up on an unusual incident reported to the Community Care Licensing Office on October 23, 2025. The reported incident occurred on October 21, 2025, at approximately 10:33 AM during morning outdoor free play. At that time, Child 1 (C1) was observed with a limp body and closed eyes. Teacher Mai immediately responded by holding the child and notifying an administrator. Emergency services were contacted, and C1\342\200\231s mother was informed. C1 was transported by ambulance to a local hospital for medical evaluation. According to facility administrators, C1 was assessed at Kaweah Health Emergency Department at 11:32 AM. The child was diagnosed with syncope, a temporary loss of consciousness caused by insufficient blood flow to the brain. C1 was discharged without restrictions and referred to a pediatric neurologist for further evaluation. C1 returned to care on October 27, 2025. During the inspection, LPA Garcia reviewed video footage of the incident (without audio). The footage showed C1 actively engaged in free play with no visible signs of distress prior to the event. At approximately 10:33 AM, Teacher Mai was seen attending to C1. Another teacher promptly returned to the main building, and additional staff arrived to assist. Teachers were observed calmly escorting the remaining children off the play yard. Teacher Mai briefly assisted in gathering a census before children returned to their respective classrooms. At 10:43 AM, paramedics arrived and assessed C1. By approximately 10:58 AM, paramedics exited the play yard with C1 on a stretcher. Continued on LIC812-C Throughout the incident, staff maintained appropriate teacher-to-child ratios. The response was timely, coordinated, and demonstrated effective emergency procedures. Per the medical discharge instructions and administrative follow-up, C1 is scheduled to see a neurologist in November for a more comprehensive evaluation. In the interim, facility staff will provide enhanced supervision for C1, particularly during rest periods, to ensure prompt response should a similar incident occur. This morning C1 was observed in her classroom in a group activity with her peers. C1 was observed to be in good spirits and active with no signs of distress. Based on the information obtained and a review of the video footage, LPA determined the ALL staff involved handled the incident appropriately and determined that reporting requirements were met. Licensee took appropriate measures to address the incident, following both internal policy and Title 22 Regulations. Per California Code of Regulations, Title 22, Division 12, no deficiency was cited during today's inspection. A notice of site visit was given and must remain posted for 30 days. An Exit interview was conducted and report was reviewed with Assistant Site Supervisor.