Incident investigation·March 10, 2025

Licensing Program Analysts (LPA) Roxana Lopez conducted an unannounced case management- incident inspection to the above facility. The purpose of this inspection was to follow-up on incident that were self- reported to the department on 03/07/2025. LPA met with Child Development Site Supervisor Elsa Gomez, who gave LPA a tour of the facility. On 3/7/2025 an incident was self reported to the department within the required 24 hours. Per Incident reported On 3/6/2025 Child # 1 slipped and fell on structure causing a cut on lip.Child # 1 was taken to the doctor by parents and needed stiches. LPA conducted interviews with staff, and child # 2 regarding incident. Per staff incident occurred in the steps on the front of the structure and was not observed by any staff. Staff # 1 was located on the back of structure helping children who were sliding down. Staff # 2 had a group of children in the puzzle area and staff # 3 had a group of children in the sandbox area. Staff # 2 heard child # 1 cry and observed them walking to Staff # 3- child had blood in their mouth and Staff # 2 administered first aid. Per staff child # 2 disclosed that child # 1 was running on the steps of structure and fell. LPA interviewed child # 2- child disclosed that child # 1 was running on structure and fell cutting their lip. Child # 2 disclosed that staff was present- staff # 1 was helping children on the slide and staff # 2 helped child # 1 "to feel better" ------------------------------------------------------------ pg, 1 of 2 ---------------------------------------------------- Interviews corroborated that ratio was met during the time of the incident- and that active supervision procedure was in placed. Staff 1-3 corroborated that there is a plan in place to only allow 8 children at a time on structure and provide other areas for children to use. Children were reminded of safety rules for outdoor play and structure area. Structure was checked for any damaged or lifted turf- cushioning that could have been damaged. LPA observed area to be safe of hazards. Child # 2 was taken to the doctor- per mom child needed 10 stiches. Child # 2 is not back at school yet- facility will be meeting with parents to clear child to come back. Doctor notes were provided. At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the facility representatives Elsa Gomez. ------------------------------------------------------ page 2 of 2 ------------------------------------------------------------