Incident investigation·September 16, 2025

Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 09/16/25 at 12:00p.m. The purpose of this inspection is to follow up on an incident reported to the Department on 09/10/25. LPA met with the program manager Samara Baker who guided LPA on a tour. During today\342\200\231s inspection, LPA conducted interviews with staff 1 (S1 thru 3), and child 1 (C1). LPA took pictures of the Care and Supervision procedures for 2025-2026, General Consent form, and teachers office. LPA requested additional documentation regarding speech services practices/procedures which will be submitted to LPA. LPA will review Care and Supervision procedures, general consent form, and the MOU at a later date. On 09/09/25, at approx. 10:20 am child 1 (C1) was in a small group speech session with the speech pathologist (S1) inside the teacher\342\200\231s office. S1 provided a magnetic letter A to C1 while they worked with another child. S1 recalled hearing C1 ask for help and when they turned to look at C1 they observed that the child had placed the magnetic letter A on their left middle finger. S1 noticed that the letter was stuck, and they immediately attempted to help remove the magnetic letter; however, they were very cautious on how they were going to remove the letter to ensure that C1 was not harmed. As S1 attempted to remove the letter, they observed that the letter was really stuck and walked over with both children to the sink and placed soap with water in an effort to remove the magnetic letter. Once S1 realized that the magnetic letter was still stuck they requested assistance from staff 2 (S2) who was walking into the classroom. According to S2, they were walking into the classroom when S1 asked for assistance in removing the stuck magnetic letter on C1. Page 1 of 2 Per S2, they added Dawn soap with water and attempted to remove the magnetic letter; however, it was still stuck. Staff also added baby oil in an effort to remove the magnetic letter; however, it did not help either. S2 observed that C1\342\200\231s finger was swollen and began to turn purple. Staff called the program manager, principal, C1s parents, and 911. Parent of C1 arrived and observed the paramedics and EMT working on removing the magnetic letter from C1. The program manager and principal arrived prior to the paramedics and EMT arrival to the facility. Per S3, they stepped into the classroom to assist staff with the rest of the children while the principal stayed with the paramedics, EMT, S1, S2, C1, and parent of C1. According to S1 and S2, the paramedics successfully removed the magnetic letter without harming C1 and no injuries were observed. According to staff interviewed, parents of C1 were asked to take the child to the doctor for a follow up and requested a doctor\342\200\231s note upon the child\342\200\231s return to the facility. Per S3, the child was cleared to return to the facility on 09/10; however, the facility was closed and the child returned on 09/11 without any restrictions. LPA attempted to interview C1 and observed that when asked what happened to their finger, C1 seemed to motion and demonstrate that the magnetic letter was stuck; however, C1 is not fully verbal. LPA observed that C1s hand and fingers appear normal with no visual injuries. Per staff, C1 is able to move all fingers with no restrictions. LPA did not observe the magnetic letters during the inspection since S1 is no longer providing those magnets during the speech sessions. S1 stated that the magnetic letters are from Lakeshore; however, cannot confirm either since the label was torn. Per S1, the magnetic letters are age appropriate and have been very useful at other speech sessions; however, S1 has decided not to bring the magnetic letters to the speech sessions. Staff interviewed revealed that this was a 1 time incident. At this time, the above allegation requires further investigation. 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. An exit interview was conducted, and a copy of this report was provided to program manager Samara Baker. Page 2 of 2