Incident investigation·January 5, 2026

On 01/05/26 at 11:45am, Licensing Program Analyst (LPA) Diana Ortiz conducted an unannounced Case Management inspection due to an incident that occurred on 12/16/25. LPA met with Director, Sacha Lord, to whom the reason for the visit was explained. Census was taken. There were 42 children being supervised by 8 staff. On 12/17/25, an unusual incident report was made to the Department regarding an incident that occurred on 12/16/25 regarding child #1 personal rights being violated by a staff #1. Information o btained during interviews indicated that Child #1 (C#1), pulled away from Staff #1 (S#1) during their diaper change. Following the interaction, Staff #2 (S#2), stated as she walked by the changing area where S#1 and C#1 were, C#1 told S#2 that her arm was hurting. When S#2 asked S#1 what happened, S#1 stated C#1 tried to bite her and pulled away during her diaper change since she was resisting and did not want to be changed. Staff #3 (S#3) stated she was on the phone when the incident occurred. S#3 stated C#1 was heard crying in the changing area and stated C#1 kept asking for ice and a Band-Aid. S#3 stated Parent (P#1) arrived right as the incident occurred and P#1 picked up C#1. Per S#2, Parent (P#1) stated they took C#1 to her Occupational Therapist appointment after C#1 was picked up and was told by the occupational therapist that C#1 did not want to use her right arm at all during her appointment, which is when P#1 took C#1 to Urgent Care where it was determined the child was diagnosed with \342\200\234nursemaids elbow\342\200\235. A Doctors note, written accident report, Personnel Report (LIC 500) were obtained from Director, Sacha Lord. Based on the LPA\342\200\231s interviews and record review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children\342\200\231s health and safety. LPA Diana Ortiz informed facility representative, Sacha Lord that this report dated 01/05/26, document(s) one (1) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Diana Ortiz informed the facility representative, Sacha Lord to provide a copy of this licensing report dated 01/05/26 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. 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, Sacha Lord.