Incident investigation·October 12, 2023

Licensing Program Analysts (LPAs) Roxana Lopez and Kruz Long conducted an unannounced case management- incident inspection today, due to an incident that occurred on 9/28/2023. LPAs met with Yanfen Zhang Licensee and Assistant Helen Zhang..Translation was provided by assistant Helen Zhang. Incident was self reported via telephone same working day. Original LIC 624 Unusual Incident/Injury Report form was received by the Department within 7 days. The written incident report was received via email on 09/29/2023. The facility reported the incident within the required 24 hour time frame. LPA's observed the area where incident took place. LPA's conducted interviews with staff and children. Incident was observed by staff and required first aid was conducted. No disclosures were made by children. 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. Exit interview conducted and report was reviewed with Licensee, Yanfen Zhang --------------------------------------- pg.1 of 1 -----------------------------------------------------------------------------