Incident investigation·January 23, 2026

Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 01/23/26 at 09:05 a.m. The purpose of this inspection is to follow up on an incident that was reported to the Department within 24 hours on 11/18/25. LPA met with facility representative Angelica Ramos who guided LPA on a tour of the facility and census was taken. According to the facility representative, there are no preschool children enrolled in the program as this is an Early Head Start program serving toddler ages 18 months-36 months. Guillermina Diaz Huerta later arrived and assisted LPA with the rest of the inspection. On 11/17/25 at approximately 09:00 a.m. Child #1 (C1) was transitioning out of circle time and headed to a table activity when he tripped on the carpet. After C1 tripped, S2 assisted the child since the child complained and pointed to their left foot. Staff interviewed revealed that the carpet was free of any items that could pose a tripping hazard. Per S2, they were next to the child and observed when the child tripped. S2 removed the child\342\200\231s shoes and socks to assess the area; however, there was no bruising, bumps, scratches or anything observed on the child\342\200\231s left foot. According to staff, an ice pack was applied onto the child\342\200\231s foot. Staff revealed that the child was observed to be limping and called the registered nurse. The registered nurse assessed the child and advised that the child should be picked up if he continued to limp. On the same day, the program FSA spoke with the parent who shared that the child was seen by a doctor and x-rays were taken. The registered nurse also contacted the parent on 11/18/25 and was informed that x-rays were taken of the child\342\200\231s left foot; however, x-ray results will be available in three days. On 11/21/25 the registered nurse contacted the child\342\200\231s parent who stated that they are still waiting for the x-ray results. On 11/24/25, the child\342\200\231s parent shared with the registered nurse that the child had been clear to return to the facility. Per staff, x-rays did not reveal any fractures. Page 1 of 2 According to staff, the child returned without any restrictions and parent provided a doctor\342\200\231s clearance letter. Interviews with staff revealed that this is the first and only incident that has occurred in the carpet area. LPA attempted to conduct an interview with C1; however, child was distracted and returned to play outdoors. LPA observed C1 could move both of his feet without any issues or pain. LPA also observed that C1s shoes are a little big as the shoes can come off easily. LPA advised staff to be aware of children\342\200\231s clothing and shoes to ensure they are appropriate to prevent any incidents. Also, LPA advised staff to document any communication with parents regarding concerns or observations of children\342\200\231s clothing and shoes. LPA toured the area of where the incident occurred and observed furniture is age appropriate and in good repair. LPA also observed that the carpets are well maintained and the corners are not lifting. LPA took a picture of the carpet area and obtained a copy of the doctor\342\200\231s note. During this inspection, LPA interviewed Staff 1 (S1 thru 2), and Child 1 (C1). At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today. The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative, a civil penalty of $100 can be assessed. An exit interview was conducted, and a copy of this report was provided to the facility representative Guillermina Diaz-Huerta Page 2 of 2