Incident investigation·April 17, 2026

On Friday April 17, 2026, Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced case management- Incident inspection to follow up with an incident that was reported to the department. LPA Perry met with Cynthia, Director, who guided LPA Perry on a tour of the facility. Per Director there are currently 68 children enrolled at the facility. Census was taken and LPA Perry observed 61 children in care at the time of inspection. During the investigation, interviews were conducted with staff, director, children and parents and pertinent documentation was reviewed and obtained regarding the incident with child #1. The incident was reported to the Department on 4/7/2026 for an incident that occurred on 4/7/2026 which is in within the required 24-hour period and written report (LIC624) was received by the Department on 4/9/2026. The Department received a report via phone regarding an incident involving child#1 who had reportedly fell, outside in the yard to the ground after losing balance, resulting in a bump/red mark on the left side of the upper eyebrow and a small cut with bleeding to the inside of the upper lip. Additionally, the LIC 624 Unusual Incident Report indicates that child #1 fell outside on the yard while preparing to transition indoors, resulting in redness and a bump to the left side of the forehead and a cut to the left upper lip and inside of the mouth. It was also reported by the facility that the parents were contacted and informed at 11:47am that child #1 had fallen while sitting on a bench outside the yard. Per parents of child#1, Parent of child #1 later returned that day to pick up additional items for child #1 and was then informed by Regional Manager, Megan that child #1 may have been running, fell, and hit them self. Additionally, it was indicated that Staff #1 observed the child after they had already fallen, while Staff #2 was present on the playground was reportedly organizing items on the opposite side of the yard and did not observe the incident. LPA conducted staff interviews. Staff interviewed stated that neither staff #1 nor staff #2 observed child #1’s incident. Both staff indicated that they became aware of the incident after observing the child following the incident. Staff #1 was conducting a sweep of the upper deck playground and staff #2 was gathering children and had counted 19 children and staff #2 turned away to observe the other 2 children who were by the drinking fountain when staff #2 turned back that’s when staff#2 noticed child#1 bleeding from the mouth and observed the surrounding areas, bench and around the bench to have blood In which teachers stated that they assumed child #1 was sitting on the bench and fell since the incident was not observed. LPA Perry interviewed children. All children interviewed stated that Child #1 fell on the concrete while running. Child #7 stated that Child#1 was sad and staff #1 wiped child#1 mouth for the blood. Child #1 stated that they received an owie when they fell while running on the concrete. Child #1 additionally stated that it still hurts and they are sad. Child #3 stated that teachers seen Child #1 after child #1 fell and that staff#1 gave ice and towels. The Facility Director clarified that after doing an internal investigation it was determined that staff had assumed child was sitting on the bench since there was blood on the bench and around the bench. During the investigation, LPA Perry obtained and reviewed the medical record from the Emergency Room. Child #1 was taken by the parent to seek emergency medical attention at a local emergency room following the incident. According to the medical documentation provided, the child sustained a 1 cm laceration to the upper lip involving the vermilion border, which required three sutures. The medical report further indicates the child was provided with pain medication for treatment. Additionally, the child sustained an abrasion to the left eyebrow. LPA advised the Director that the Department has previously addressed concerns related to responsibility for care and supervision at the facility. The facility has had prior incidents involving supervision and care provision requirements under Title 22 regulations, and a Non-Compliance Conference was held at the Monterey Park Regional Office on October 14, 2025, during which the Department reviewed expectations regarding compliance with care and supervision requirements. The Director acknowledged understanding of these expectations. Based on interviews conducted, record reviews, and review of pertinent documentation, LPA determined that no staff saw Child #1’s incident, in which child #1 sustained an injury requiring medical attention in which child#1 sustained a 1 cm laceration to the upper lip involving the vermilion border, which required three sutures, which poses an immediate danger to the health and safety of the children in care. The following (1) TYPE A deficiency listed on the following page was observed by the LPA Perry and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D for citation. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt. Deficiency that are being cited need to be cleared up to protect the children’s health and safety. Civil Penalty is being assessed. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. An exit interview was conducted, and a copy of this report was provided to Cynthia, Director along with Appeal Rights.