Incident investigation·May 6, 2025

Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 05/06/25 at 12:05 p.m. The purpose of this inspection is to follow up on an incident reported to the Department on 04/17/25. LPA met with Site Supervisor Cathy Gaeta who guided LPA on a tour of the facility. Census was taken. During this inspection, LPA interviewed Staff 1 (S1 thru 2). LPA was not able to interview child 1 (C1). LPA also reviewed C1 file. On 04/16/25 at approx. 11:15am C1 was walking from the sink to the quiet area and as they approached the area, C1 ran and slipped on a book that was on the rug. C1 fell and hit their head on the bookshelf near the quiet area which resulted in an open wound above their left eye. According to S1, children were transitioning from activities. C1 finished their activity and headed to wash their hands. C1 then headed to the quiet area where there are bookshelf's and other materials for children. S1 recalled hearing someone yell and when they turned around, S1 observed C1 had blood on their face. S1 stated that they immediately attended and comforted C1. S1 also provided first aid and asked for S2s assistance. Per S2, they were notified of the incident and immediately came into the classroom to assist. Per S1, video footage was reviewed with C1s parents, and it is observed that C1 seemed to be skipping happily to the quiet area when suddenly C1 fell. S1 stated that on the video footage it is hard to see if there were books on the floor; however, S1 stated that it is not possible for anything to be on the floor since children had not used the area prior to the incident. According to S1, C1 states that they slipped on a book that was on the floor. S1 also stated that there is always another staff that cleans the classrooms and ensures that all materials are stored away prior to children coming into the classroom. Page 1 of 2 Facility contacted C1s parents who took C1 to the doctor. C1 received 3-4 stitches above the left eyebrow and returned to the facility on 04/18/25. Per staff, there are no restrictions; however, C1 must wear a band aid over the stitches while at the facility. Per the written report, the facility conducted a group meeting and discussed with staff that reminders of \342\200\234walking feet\342\200\235 will be given throughout the routine as needed while indoors. Staff will also remind children to put away materials once they have finished utilizing them. LPA inspected the classroom/area of the incident. LPA did not observe any hazards; however, LPA discussed with S2 that as a best practice all materials shall be put away to prevent slips and falls. Per S2, the bookshelf and other equipment were moved around to prevent future incidents. 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. Exit interview conducted and report was reviewed with site supervisor Cathy Gaeta. Page 2 of 2