Incident investigation·October 4, 2024

On 10/04/2024 Licensing Program Analyst (LPA) Lisa Clayton arrived at the Child Care Center unannounced, to conduct a Case Management \342\200\223 Incident visit. LPA Clayton was greeted by Director Nara Keheyan. LPA Clayton observed 54 children in care being supervised and cared for by 9 fingerprint cleared staff. LPA Clayton toured the facility outside for a Health and Safety inspection. Description of the incident : One of the Preschool children C1 was outside on the grass near the play structure running around and tripped and fell on her elbow. Teacher S1 saw the fall, and her offered administer ice since the child was crying, but child refused. Child was escorted to the who called her mother who then picked her up approximately 15 minutes later and took her to the doctor. Doctor reported to child\342\200\231s mother that the child had fractured her elbow, but the mother is taking the child to another orthopedic doctor on 10/2/2024 for a second opinion. Child has not returned to school as of 10/2/2024. Incident update: the child returned to school on 10/03/2024 with a cast on the right arm (extending from her elbow to her wrist) and instructions from mom that the child is to not play on the play structure on the yard. Mom also asked staff to assist the child with eating as needed. During this inspection, LPA toured the facility, inspected and took photos of the area where the incident occurred. LPA also interviewed the child, staff, and obtained a copy of the facility roster. LPA Clayton reminded Director Nara to submit the completed unusual incident report to the El Segundo Regional office in the required time frame. Based on the information obtained, interviews conducted and LPA's observation of the play yard area, the child accidentally fell and sustained a fractured elbow. The facility had appropriate children/staff ratios during the incident, there were no equipment or objects on the play yard where child fell and the facility reported the unusual incident in a timely manner; therefore, no Title 22 violations have occurred, and no deficiencies cited. Exit interview conducted and report was reviewed with Director Nara. LPA Clayton posted Notice of Site visit which to the remain posted for 30 days.