Incident investigation·March 19, 2025

On 03/19/2025 Licensing Program Analyst (LPA) Lisa Clayton arrived at the Gomez Garcia Family Child Care Home unannounced, to conduct a Case Management \342\200\223 Incident inspection to follow up on an Unusual Incident received in the Department by mail. LPA Clayton was greeted by assistant Mirella Marquez and Licensee Ana Gomez Garcia. LPA Clayton observed 11 children in care being supervised and cared for by 3 fingerprint cleared staff. INCIDENT DETAIL: on March 4 around 10:55am the children were playing on the slide and C1 was about to slide down he tripped, flipped and rolled down the slide and we noticed that his lip was bleeding and teacher Corina took him inside and cleaned his lip applied ice and called mom and let her know what happened. Mom asked if he was ok and we said yes. His grandmother picked him up around 5:10 \342\200\223 5:15p, but I was already gone for the day. Marisol and Corina were here. The next day (03/05/2025) mom came in the morning, and she told me that when he fell, he hit his tooth and that she was taking him to the dentist that day. She picked him up early and took him to the dentist. I told her that when he fell, he wasn\342\200\231t complaining about his tooth, only his lip. He returned to day care on March 11, 2025. Mom gave me the receipt that showed his tooth was pulled. We called the insurance company and filed a claim. During today's visit LPA Clayton met and talked to C1. LPA also observed C1 sliding down the slide. LPA also provided best practices regarding the play structure. Based on the information obtained and observations of the play yard area, C1 was using the slide as intended and tripped at the top of slide, falling down the slide, bumping his lip and front tooth. As a result, his tooth was removed on March 5, 2025. C1 returned to the day care on March 11, 2025 with no restrictions. The facility had appropriate children/staff ratios during the incident, there were no equipment or objects on the Play structure when C1 fell. Because the incident was not reported in the time frame required by Title 22 Regulations, Deficiencies are cited today (see LIC 809-D). A notice of site visit was given and posted for 30 days. Exit interview conducted and report was reviewed with Ana Gomez Garcia. LPA Clayton posted Notice of Site visit which to the remain posted for 30 days.