Incident investigation·September 29, 2023

Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced case management- incident inspection on 09/29/23 at 11:30 AM due to an incident that occurred on Thursday 09/07/23. LPA met with Julie Larson, Assistant Director. Shortly after, Patricia Chambers, Director arrived who guided analyst on a tour of the facility. Alleged Incident took place on 09/07/23. Incident was reported via fax next working day. Original LIC 624 Unusual Incident/Injury Report form was received by the Department within 7 days. The written incident report was received by fax on Friday 09/08/23. The facility reported the incident within the required 24 hour time frame. LPA conducted interviews with director and two staff. LPA reviewed child#1's file and obtained copies of child#1 Physician's Report (LIC 701), Child#1's Health History (LIC 702). LPA also obtained copies of incident report that was given to child#1 and child#2 parents. During this inspection director submitted a Biting Policy information that will be posted at the facility website by Monday 10/02/23, and copies will be given to parents. Based on staff interviews, child#1 bit child#2 on 09/07/23 at 5:05 PM after child#2 sat on child#1 in the book area of class. There were 5 children in the classroom at that time with two staff. Per staff interviews, staff#2 observed the incident. Per staff interviews, no history on child#1's file. Per staff, child#1 bit child#2 because child#2 came into child#1's personal space. Per director, an ouch report was given to both parents. A meeting was held with teachers. Child#1 was moved from classroom. Teachers were given an article about Biting Child and how do stop biting. Also teachers watched a video on youtube regarding bitting. REPORT CONTINUES ON NEXT PAGE 1 of 2 Ratio and staffing were in accordance of Title 22 Code of Regulations at the time of the incident. LPA referred licensee to resources for dealing with children with challenging behaviors as additional resources for dealing with children with challenging behavior. Also, LPA Eivazian recommended licensee to call local R&R, CCRC to register for virtual training regarding handling and dealing with children with challenging behaviors and staff that may be beneficial for them to attend. At this time, there is not a preponderance of evidence that shows that the facility was in violation with Title 22 Regulations when these incident occurred. Therefore, there are no deficiencies being cited on this date. The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Julie Larson, Assistant Director at 2:50 p.m.. REPORT END 2 OF 2