Incident investigation·July 13, 2023

An unannounced Case Management Inspection was conducted on this day by Licensing Program Analyst (LPA) Raul Navarro in regards to an Unusual Incident Report that was received in the licensing office on 06/27/23. LPA arrived at the facility at 8:45am and met with Director Ana Fragoso who guided LPA on a tour of facility. On 06/26/23, at approximately 10:00am, Child #1 was playing outside in the playground when he fell and quickly got up and continued playing. After nap time he was walking on his tipi toes and teacher checked him. Child started to cry asking for mom. Child's mom took child to urgent care. Child was diagnosed with a sprain. Child's parent reported to the facility that child will be out for about two weeks. LPA interviewed the Director Ana Fragaso. Per Director, the Child#1 was taken to urgent care by parent as a precautionary measure. Child #1 was diagnosed with a sprain but returned to the facility the following week. Child's parent took child to get x-rays which came back negative and there was no fracture. LPA Navarro observe the child at the facility. Child was observed to be running and playing in the playground. LPA interviewed Staff #1 during inspection. Per Staff #1, they did not observe the child fall. Per Staff #1 they did observe the child to be playing and running throughout the day. Per Staff #1, Child did not complain about his ankle until the end of the day when mother arrived. LPA also interview Staff #2. Staff #2 did observe the child fall during the morning outdoor play time, but child continued to play and did not cry or complain about his foot. Staff #2 is child's teacher. Staff #2 also stated child was fine throughout the day and did not complain about his foot until the afternoon during pick up. Staff #2 stated that they did not observe the foot to be swollen or bruised. Report continues on the next page Based on all information obtained on this date, and interviews conducted with staff, no follow-up is necessary regarding the incident. The incident appears to be an unusual accident. It appears to be nothing the facility staff could have done to prevent the incident from occurring. There were no deficiencies observed in regards to today's visit. Exit interview was conducted with Director Ana Fragoso. A notice of site visit was given and must remain posted for 30 days.