Incident investigation·January 12, 2024

Licensing Program Analysts (LPAs) Roxana Lopez and Jessica Hopkins-Hernandez conducted a case management inspection on this date. LPA met with Site Supervisor Evelyn Gutierrez who guided analyst on a tour of the facility. Census was taken. LPA conducted today's inspection for the purpose of following up on an incident that was reported to the Department on 11/2/2023. The incident occurred on 10/18/2023 and was not reported to the Department within the 24-hour period. Per Site Supervisor- they reported the incident to the main office on 10/18/2023. LPA advised Site Supervisor that they are able to report incidents themselves and provided incident report email. Staff and children were interviewed no disclosures were made on this date. At this time, there is not a preponderance of evidence that shows that the facility was in violation with Title 22 Regulations when the incident occurred. Therefore, there are no deficiencies being cited. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Evelyn Gutierrez Site Supervisor -------------------------------------------------------- pg. 1 of 1 ----------------------------------------------------------