Follow-up on corrections·December 20, 2022

On 12/20/22, Licensing Program Analyst (LPA) Kathy Pacheco conducted an unannounced case management inspection. LPA met with owner Laurae Raths to discuss an incident that occurred on 11/22/22. LPA interviewed staff and children and observed area in which the incident occurred. LPA spoke with staff #1 (see Confidential Names form (LIC 811) dated 12/20/22) regarding the incident that occurred on 11/22/22. She stated child #1 (see LIC 811) was on the playground with the other children and they began to play and run around. She said around the time she noticed child #1 was acting a little rough with the other children, the children were running and jumping and had fallen on top of each other. Staff #1 said she immediately went over to the children and she placed child #1 in a time out because he had been acting rough with the other children. She said child #1 began to cry when she told him he was going to time out. Staff #1 said child #1 was only in time out for a few minutes and she thought he was crying because he was in time out. She said when she went to get him out of time out, she noticed he was still crying and she asked him what was wrong. Staff #1 said that is when child #1 began complaining about his arm hurting. She said she then noticed his arm looked odd and was limp at his side. Staff #1 said she contacted staff #2 and informed her of the situation. She said staff #2 came to the playground area and agreed with her that something was wrong with child #1's arm. Staff #2 said she contacted owner regarding the situation and owner arrived at the facility a few minutes later and contacted child #1's mother. Facility owner stated she explained the situation to child #1's mother and mother requested to have child #1 transported by the facility to the hospital and she would meet them there. Once at the hospital, it was determined child #1 suffered from nursemaid's elbow and the doctor was able to pop his elbow back into place. Child #1 was released from the hospital and returned to the facility the next day. (continued on next page) LPA discussed the reporting requirements of an unusual incident involving a child requiring medical treatment with owner. LPA advised owner that Community Care Licensing (CCL) had not received notice of the unusual incident report within the Department's next working day. Facility owner stated she contacted CCL the next day and left a message with the incident information for the Officer of the Day. She said she assumed CCL did not need additional information since she did not receive a call back. Owner was able to show proof of the telephone call she made to CCL on 11/23/22 at 10:44 am on her telephone's call list. Owner further stated she completed the written unusual incident report and submitted it to CCL within the required time frame. Based on the information received, LPA determined the facility took appropriate measures to address child #1's injury. LPA further determined the facility followed proper policies and procedures and no regulations were violated. Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's inspection. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with owner Laurae Raths.