Incident investigation·August 10, 2021

An unannounced Case Management Inspection was conducted on this day by Licensing Program Analyst (LPA) Bardo Baluyot to address an Unusual Incident Report that was received in the licensing office on 4/29/2021. LPA met with Director, Diana Ramirez who guided LPA on a tour of facility of both indoors and outdoors. Child 1 is a five year old toddler who broke her arm. On 4/28/2021, during outdoor play, Child 1 jumped off a platform leading to the monkey bars and landed in a seated position with her left arm behind her back. Per Staff 1, children typically stand at the platform before using the monkey bars but on this day, Child 1 took a running start. Per Staff 1, she called out to Child 1 not to run but Child 1 was already mid-flight. Per Staff 1, Child 1 was crying and her left arm appeared red and swollen. Per Staff 1, they comforted the child, applied ice and called the child's mother immediately. Mother arrived within 10 minutes and took the child to Kaiser's emergency room. X-rays revealed radius (wrist bone) fracture, ulna (wrist bone) fracture, ulna (lower arm bone) fracture, radial head (elbow ) dislocation. Per Director, Child 1 was placed in a cast for approximately 7-8 weeks and regained full use of her arm. Child's last day at the facility was 7/30/21. Child left to attend Kindergarten at the local public school. Based on all information obtained on this date, and interviews conducted with staff, no follow-up is necessary regarding the incident. The incident appears to be an unusual accident. LPA observed the play structure including the platform to be in good condition and had no visible tripping hazards. Director confirmed that staff are always stationed at or near the platform during outdoor play and were reminded to be more diligent with instructing children not to run on play structure. Aside from the aforementioned advisory, It appears to be nothing that the facility staff could have done to prevent the incident from occurring. There were no deficiencies observed in regards to today's visit. The Director was advised that inaccessibility of hazards must be constantly reassessed and reviewed with staff depending on the children in care. Exit interview was conducted with Director, Diana Ramirez. A copy of this report along with Appeal Rights were provided and Appeal Rights explained.