Incident investigation·October 20, 2022

On October 20, 2022 at 1:30 pm, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced inspection at the facility noted above and met with Director, Evelyn Garibay. The purpose of the inspection was to follow-up on an incident that occurred at the facility. An incident was brought to the Department's attention that a child (C1) had fallen and sustained an injury while in care. During the inspection, LPA conducted an interview with the Director who confirmed that the incident had resulted in C1 sustaining an injury that required medical treatment. Director also confirmed that the incident/injury was not reported to the Department. LPA was informed that C1 had accidentally fallen while inside the cafeteria. Per Director, C1 was provided with an ice pack, C1's parent was immediately contacted, and an "Ouch" report was provided to the parent upon pick-up. The Director stated that C1 was picked up from the facility by their parent and was later seen by a doctor. Per C1's parent, C1 sustained a fracture from the incident. LPA advised the Director on Reporting Requirements per Title 22 regulations. LPA also obtained copies of pertinent documents. During the inspection at 3:45 pm, LPA observed a child (C2) come inside the cafeteria while all staff and the other children were outside. LPA observed the child attempt to sit down at a bench/table inside the cafeteria but accidentally fell on the floor. LPA walked up to the child who began crying and apologizing for spilling the tray of snacks (cups of fruit and animal crackers) on the floor. Per C2, C2 was not injured but was clearly upset about the incident. LPA looked around and did not observe any staff present. LPA walked outside and notified staff (S1) of the incident. S1 came into the cafeteria and began talking to C1. During today's inspection, deficiencies were cited for failure to report the incident/injury that occurred at the facility on 10/7/2022 and for the lack of supervision that LPA had observed during the inspection. A Notice of Site Visit (LIC ) was provided and must remain posted for 30 days. An exit interview was conducted and a copy of the report was reviewed with Director, Evelyn Garibay.