Incident investigation·August 27, 2025

On August 27, 2025, Licensing Program Analysts (LPA) Diana Ortiz and Joanne Solorio-Campos, conducted an unannounced Case Management-Incident Report visit. LPAs met with Director Teresa Fuentez who guided LPA on a tour of the facility. LPA observed 66 children and 19 staff present during this visit. The department received an unusual incident report on 7/18/25 via email for an incident that occurred on 7/02/25. Per Title 22 Regulations CCR 101212(d)(1)(B) the facility failed to report the incident in a timely manner. During today’s visit, LPAs conducted interviews with the Director and Staff. LPAs observed the classroom where the incident occurred. LPAs observed the playhouse fridge was removed from the classroom and moved to a room which is not being utilized (Pre K room). LPAs toured the facility and entered the classroom where the incident occurred. Director explained the incident occurred at around 10am during clean up time as they were getting ready to go outside. During the time of the incident, there were 16 children and two staff present. S#1 was helping other children clean up when the incident occurred. S#1 stated C#1 was helping clean up the “home living area” of the room and when she turned around they heard C#1 cry. When S#1 walked over to C#1, S#1 stated that there was a lot of blood on the floor. When S#1 observed C#1 her thumb was bleeding and part of the tip of her thumb along with a piece of her nail was on the floor. Staff immediately responded, and administered first aid. S#1 asked S#2 to assist and S#2 then grabbed C#1 finger tip from floor and placed it on a napkin and placed the napkin inside the cup. S#1 then stated C#1 was brought to the front of the office where she then waited for Assistant Director to contact her parents. S#1 stated C#1 waited approximately 40 minutes before the Nanny and Mother showed up and then took her to urgent care. Page 1 of 2 C#1 received a few stiches on the finger. The child returned to the facility on Monday, July 7, 2025 with medical clearance stating not to get her thumb wet as it was on a bandage. Parents were provided with an incident report from the facility and LPA obtained a copy. After interviews, observation of the areas and documentation of the injury, it was determined that staff were unable to prevent the injury from happening; therefore, there is no preponderance of evidence to determine that a regulatory violation occurred, the incident was determined to be an accident. However, Per Title 22 Regulations CCR 101212(d)(1)(B) the facility failed to report the incident in a timely manner. This poses a potential risk to the health, safety and personal rights of children in care. LPAs reviewed title 22 regulations with director about Reporting Requirements and the many ways of submitting an Unusual Incident Report. Director understood. Based on this information, the following deficiencies on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety. Exit interview conducted and report reviewed with Director Teresa Fuentez. A notice of site visit was provided, and appeal rights were provided and discussed. Page 2 of 2