Incident investigation·May 3, 2024

Licensing Program Analyst Alicia Mooberry made an unannounced Case Management Incident visit at the facility to follow up on incident reported that occurred on 3/18/24 in regard injury sustained by Child #1. The Monterey Park South West Office received the Unusual Incident Reports via phone on 3/18/24. Upon arrival LPA met with Site Supervisor Rocio Hernandez (S1). Present during the inspection were 14 napping children and 6 staff. Child #1 was observed to be napping in Penguin Room . Incident reported on 3/18/24 stated that Child # 1 was jumping around cots while other children were napping, S1 grabbed C1's hand to keep C1 from falling. C1 fell then stated her arm hurt. It was determined that child injured arm during fall. C1's Authorized Representative was informed. During this visit LPA interviewed Staff, reviewed Child's file. Records reveal that Child #1 has had two (2) additional incidents at the facility which resulted in injury to Child 1's arm, reported by the facility on 5/17/23 and 9/21/23. Per facility records and Staff interview, C1 was injured on the same arm. Staff interview state C1 has behavior that disrupts class and other children. Parent of C1 confirmed that the child has a pre-existing condition and other instances where their arm becomes "dislocated at the elbow and shoulder" and has received medical attention for the issue. Per Interviews and record review, it was determined that the facility did not take steps to ensure there was a behavior plan for C1 that meets child's physical needs. This poses a potential risk to the health and safety of children in care. One (1) "B" deficiency is cited in accordance to California Code of Regulations Title 22. Notice of site visit was provided and Site Supervisor was reminded it must remain posted for 30 days. Exit interview conducted and a copy of the report was provided to Site Supervisor, Rocio Hernandez. Appeal Rights were discussed.