Incident investigation·October 12, 2022

Licensing Program Analysts (LPAs) Jeanette Estrada and Austin Estrada conducted an unannounced case management inspection due to an incident that was reported to the Department. LPAs initially met with Director Debra Ward who provided a tour of the facility. There were 62 children and 17 staff present during this inspection. LPA J. Estrada conducted interviews and obtained documentation during this visit. The incident occurred on 9/28/22 and was also reported to the Department on 9/28/22 via email. The incident involved Child 1 who sustained an injury that required medical treatment from a medical professional. Staff 1 stated that on 9/28/22 she took four children to the restroom and Child 1 was flickering the light switch with his right hand. Child 1 was holding the door panel with his left hand and the pointer and middle fingers from the left hand were smashed when another child closed the door behind them. Per Staff 1, she noticed Child 1 was playing with the lights and asked him to stop but did not notice that his left hand was on the side panel. Per Staff 1, Child 1\342\200\231s two fingers were bruised, Staff 1 applied ice, Child 1\342\200\231s parent was informed and picked up Child 1. Parent took Child 1 to Urgent Care and it was determined that the tip of the middle finger was broken. Per Staff 1, they are now waiting for all children to be in the restroom to shut the door and staff are reinforcing to children that adults, teachers and parents, are the only ones that should be opening and closing doors and gates. Child 1 returned to the facility on 10/3/22. Based on interviews and record review, the staff administered first aid and notified the parent in a timely manner. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence. LPA determined there will be no deficiencies cited at this time, per California Code of Regulations Title 22, Division 12. The Notice of Site Visit (LIC 9213) \342\200\223 must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Exit interview was conducted with Facility Representative Alicia Rosas.