Incident investigation·September 26, 2023

On 9.26.23 Licensing Program Analyst (LPA) Kris Diaz met with the Licensee, Guadalupe Cabrera for a case management incident inspection involving an Unusual Incident Report (UIR) received 9/1/2023. Licensee granted access to the home and guided LPA on a tour. Upon arrival, there were 11 children and 2 staff present including the licensee. Description of the incident : A incident occurred on 8/31/2023 at approximately 3:54 PM. The UIR was submitted by licensee and describes the incident as follows. S1 was in the backyard of the FCCH with C1, C2, and C3. C1 was climbing from the slide to the monkey bars. Per 624B, on C1s third time climbing from the slide to the monkey bars, C1 reached for a monkey bar that was farther away from the slide. C1 missed the monkey bar and fell to the ground. C1 screamed after C1 fell and C1 was holding their hand/wrist. LPA conducted interviews with C1, C4, S1 and S2, viewed and recorded video (on state cellphone) of incident from licensees video monitor and reviewed records. Licensee stated she could not record the video on a usb. Interviews and video viewed revealed that S1 walked away from children and did not have visual observation of the children when C1s injury occurred. Based on interviews, observations, and record review it is determined that the staff failed to provide sufficient care and supervision including visual observation as outlined in the regulation resulting in a serious injury of C1. Therefore, this facility is being cited for a Type A deficiency and an immediate civil penalty of $500 will be assessed on this date. See Facility Evaluation Report LIC 809D for deficiency.