Incident investigation·June 16, 2025

On 6/16/2025 at 12:55 pm, Licensing Program Analyst (LPA) Carolyn Tuba conducted a case management incident inspection visit due to the facility had reported and submitted an Unusual Incident Report (UIR) of a child who required medical attention. LPA met with Child Development Director, Abigail Querubin-Villareal as Child Development Supervisor (CDS), Gabriel Munoz was not available. LPA obtained a census of 161 children with 38 staff. The facility had reported the incident via email by submitting an Unusual Incident Report (UIR) on May 16, 2025. The incident was reported to the Department within the required 24 hours of occurrence. The incident occurred on May 16, 2025, at approximately 11:20 am in classroom PJ. Child #1 (C1) had suffered a seizure and Staff #1 (S1), and #2 (S2) assisted C1 by making sure they were not injured during the seizure. C1 was placed on her side after the seizure and according to S1, C1 never lost consciousness or stopped breathing, however according to S1 the EMTs did provide oxygen due to low levels and disclosed that C1’s lips had turned a blueish color. Office Assistant, Dennis Quinonez had called the Emergency Medical Technicians (EMTs) who arrived at 11:30 am. The Tosa, Ann Pettersen assisted the staff during the incident and stated that C1’s temperature was checked by the staff and temperature was a normal range. According to S1 the EMTs checked C1’s temperature during their examination at the facility before being transported, as well as at the hospital and found it to be within normal range. CDS also assisted and called the parents of C1 to report the incident, as well as followed up with parents at 4:00 pm to inquire of C1’s condition, but there was no answer. C1 was taken to the local hospital page 1 of 2 for evaluation. S1 rode in the ambulance with C1 to the hospital and CDS followed in his own vehicle and C1’s parent arrived shortly after. According to Child Development Director staff had informed her that at approximately 11:20 am C1 had vomited during lunch time and their eyes had rolled back and child had turned a blueish color. When EMTs arrived at approximately 11:30 am, C1 was responsive and vital signs were good. According to parent this was not C1's first time having a seizure and parent had never disclosed to the facility, however this was the first C1 had suffered a seizure at school. According to the parent C1 had seizures due to a high temperature and a seizure plan will be discussed with parent, as well as updating licensing forms such as Health History and any medical forms. LPA will follow-up with CDS to obtain a copy of the accident report, and any seizure medical plans however a copy of the Physician’s report was provided during the visit. C1 returned to school on 5/29/2025. According to the TOSA the allergy/medical condition list has been updated and is available for staff in the classroom. No citations are being issued during today’s inspection visit. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Child Development Director, Abigail Querubin-Villareal. page 2 of 2