Incident investigation·April 7, 2025

On April 7, 2025, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced Case Management inspection. The purpose of the inspection is to follow up on an incident that was reported to the department on 04/02/2025; the incident occurred on 03/27/2025. The incident is a possible personal rights violation. LPA met with Director, Angela Barlow who guided LPA on a tour of the facility. LPA observed 13 infants/toddlers in care with 6 staff. During the inspection LPA interviewed Staff #2 (S2) to Staff #4 (S4), obtained copy of written statements from S2 to S3, interviewed Parent #1 (P1) and obtained a copy of the facility roster. LPA was unable to interview Staff #1 (S1) as S1 is no longer employed at the facility. LPA called S1 and left a voicemail with call back number. LPA was unable to interview C1 as C1 is an infant and nonverbal. During interviews, S2 stated that while dropping off lunch S2 observed C1 with masking tape around C1's shoes (tape went around from bottom of shoe to the top where velcro is). Per S2, S2 asked why S3 why C1 had tape on their shoes. Per S2, S3 stated that C1 kept taking their shoes off and S1 placed taped on C1 shoes to prevent C1 from taking the shoes off. Per S3, S3 noticed the tape on C1 shoes after nap time and asked who put tape on C1's shoes when S1 stated she did to prevent C1 from taking off their shoes. Per P1, P1 has not observed tape on C1's shoe during pick up time. Per P1, P1 did not observe any bruising on C1's feet/ankles. Per P1, he was notified the following day of the incident verbally by director. Based on interviews conducted the facility is being cited a Type B deficiency in accordance with Title 22 Regulations, see LIC809D An exit interview was conducted and a copy if this report along with Appeal Rights was provided to the director. A Notice of Site Visit was provided and must be posted for 30 days.