Incident investigation·October 3, 2023

On October 03, 2023 Licensing Program Analyst (LPA) Isabel Ortega met with facility Director Eloise Ortiz, Site Supervisor, Gloria Mancilla and David Diaz, fiscal Administrator to conduct a Case Management- Incident inspection. The purpose of the case management was to follow up on a self reported unusual incident report (UIR) called in to the Department on 9/29/2023. This unusual incident report is regarding Child #1 crying and complaining of neck pain(onset) during care. Upon arrival, there were 29 children observed in care and 5 staff proving care and supervision. This inspection was unannounced, during this inspection LPA was provided with the facility roster. In addition, LPA completed a safety inspection of the facility including classroom #10. LPA toured a total of two classrooms. Interviews were conducted with staff, parents and children. Interviews disclosed staff were providing visual observation when incident occurred. According to interviews child #1 was hurt on the left side neck by another child in care Child #2. According to interviews child #2 hit child #1 with his hand holding a piece of apple on the left side of the neck. According to medical report and x-ray results from a medical professional states child #1's left side neck had inflammation. According to interviews facility was not able to provide any further details about the incident other than children were playing with their snack(apples) and child #1 accidentally dropped child #2's apple on the floor and child #1 bend down to reach the piece of apple. Base on the information gathered, LPA has concluded staff provided adequate supervision. Child #2 admitted to hitting Child #1 on the neck with a closed hand holding a piece of apple in his hand. Staff #1 was sitting at the table with the children during snack when incident occurred. Child #1's symptoms were delayed until Child #1 was at the carpet for story time. Child's legal representative was contacted and child#1 was picked up shortly after. A total of 3 teachers were in the classroom and 17 children at the time of the incident. Teachers were in zoning position at time of incident. Copy of this report, appeal rights and Notice of site visit was provided to Supervisor on this day.