Incident investigation·February 20, 2024

On 02/20/2024 at 10:07am, Licensing Program Analyst (LPA) Sarah Garcia conducted an unannounced case management-incident visit to follow-up on a self- reported unusual Incident (LIC 624) reported to Community Care Licensing on 02/08/2024. Upon arrival, LPA met with Assistant Director, Jasmine Wright and Director, Brenda Quintero. LPA informed director about the purpose of the visit and toured the facility. LPA observed 13 infants with 4 staff. At 11:27am, LPA was informed by Assistant Director, Jasmine Wright, that director, Brenda Quintero had to leave immediately due to family emergency. LPA continued visit with Assistant Director. According to the UIR, on 02/01/2024 at 11:00am, Assistant Director reported that C1 was riding a cushion horse, when she fell forward and hit her mouth on the floor. Staff applied first aid and ice to the mouth area. Parents were called right away, and arrived to pick C1 up. Child was taken to her medical provider. Child is currently at home until her gums heal. Director called on 2/8/2024 at 4:10pm to report that the parent reported child went to her medical provider and was referred to her dentist. LPA Garcia conducted interviews with staff and received the following documents: children’s roster, personnel record, LIC 624, apparatus manufacturer information, facility plan of correction, parent incident notification, and witness statements. Based on interviews and evidence provided, physical plant inspection of the site of the incident, it revealed that at the time of the incident, there were 14 infants playing in the classroom being supervised by 4 staff members. Per interview with Staff 4, at approximately 11:00 AM, child 1 (C1) stepped off the horse and fell. The preponderance of evidence to prove there was a lack of supervision has not been met. LPA was informed that the cushion horses were removed from the facility and sent to another facility. Exit interview was conducted and a copy of the report was provided to assistant director, Jasmine Wright. Appeal rights were reviewed and provided. Notice of site visit was given and must remain posted for 30 days.