Follow-up·April 2, 2025

Licensing Program Analyst (LPA) Stephanie Li conducted an unannounced Case Management inspection to follow up an incident that occurred on 11/8/24 and was reported to the Department on 11/8/24. LPA met with Director Emily Quintero to whom the reason for the visit was explained. Director guided LPA on a tour of the facility. There were 52 children present and 8 staff. Program is a Co-op with parent volunteers. The facility was observed to be operating within the license capacity limitations. On 11/8/2024, an unusual incident report was made to the Department regarding an injury that occurred during Am outdoor playtime. 3 year old child was climbing up a ladder attached to the play structure and fell when the clean bell was sounded resulting in the child sustaining a depressed parietal skull fracture. Child returned to school the next day with restricted movement. Child was not allowed to ride bikes or play on structure for two weeks. Case was not closed per CHLA and follow up health visit was required. Facility director attended a Board meeting the fist two weeks of December to address the play ground structure and playground regulations. Director emailed LPA inquiring clarification of play ground guidelines. LPA emailed links and website to Director. During today's visit, LPA observed climbing apparatus is still restricted by plastic mesh restricting children from using the side by side climbing ladders. Per Director, Board informed her that a pipe wall barrier was ordered and will be installed in place of the Jack in the Bean red leaf ladder. Per Director, it would take 8-12 weeks and they have been waiting for about 6 weeks now. Per Director, child's medical case has been closed by CHLA and skull fracture should heal on its on within 12 weeks. Child has been playing with no restrictions. Page 1 of 2 Based on information obtained during this investigation, follow up is necessary regarding the incident. No deficiencies are being cited at this time. 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. Exit interview conducted and report was reviewed with Director Emily Quintero. Page 2 of 2