Incident investigation·February 26, 2026

Licensing Program Analyst Veronica Martinez Garza conducted a Case Management-Deficiencies inspection on 02/26/26 at 03:25 p.m. to address that the facility did not report an unusual incident that occurred on 01/30/26. LPA met with the facility representative Kenia Villegas who guided LPA on a tour of the facility and census was taken. During a subsequent inspection it was revealed that the facility did not to report an unusual incident to the department within the required 24 hours. According to the facility representative, on 01/30/26 C1 and C2 were playing in the front playground. At approximately 09:14 a.m. C2 clashed into C1. Per the facility representative, 3 staff were in the playground; however, 2 out of the 3 staff observed when C2 began running and C1 unexpectedly turned around which caused C2 to clash into C1 hitting C1 in the nose with their head. C1 fell to the floor and bleeding from the nose was observed. Staff immediately assessed C1 and grabbed tissues to stop the bleeding and provided an ice pack. The parents of C1 were called to notify them of the incident and recommended that the child should be picked up and be taken to the Emergency Room (ER). According to staff interviewed, C1s nose began to swell; however, there were no bruises or marks observed. Per the facility representative, the parent of C1 revealed that the child was taken to the ER; however, no documentation was provided to the facility. It is also unknown when C1 was taken to the ER since the parent of the child didn’t provide any information. The facility representative stated that C1 did not sustain a fracture on the nose and that the child’s last day at the facility was on 01/30/26. Per the facility representative and records reviewed, C1 was disenrolled from the facility effective 02/10/26. LPA also reviewed the ouch report regarding the incident that occurred on 01/30/26 which was also provided to the parent of C1. Page 1 of 2 According to the facility representative, life or death incidents or open wounds would be considered reportable to the department. LPA provided consultation regarding reporting requirements and provided a copy of the regulation. LPA obtained copies of C1 ouch reports dated December 2025 - January 2026. The following deficiencies were cited in accordance with Title 22 of the California Code of Regulations and Health & Safety Codes. Please see 809D for documentation of deficiencies. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Kenia Villegas. Page 2 of 2