Incident investigation·March 4, 2026

Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 03/04/26 at 09:25 a.m. The purpose of this inspection is to follow up on two incidents reported to the Department within 24 hours. At 09:50 a.m., LPA met with the facility representative who guided LPA on a tour of the facility and census was taken. According to the facility representative there are 112 children enrolled. On 12/05/25 at approximately 09:48am child 1 (C1) was playing in the play structure and was going up a green plastic climbing wall to reach the top of the play structure. Once C1 made it to the top she leaned forward and fell down landing on her left side of the face and left hand. Staff observed that the child had a bruise on her left cheek and a possible bruise on her right leg. When C1s parent arrived, she was observed playing and interacting with other children. Parent asked the child what happened and the child was able to demonstrate how she fell. LPA conducted an interview with staff 1 (S1) who stated that they were providing care and supervision in the grassy area and did not observe the incident. According to S1, they heard C1 crying and immediately went to the play structure area. Per S1, they were informed that C1 was climbing the wall to reach the top of the play structure while S2 was supervising children one by one going up the climbing wall. When C1 reached the top of the play structure C1 was informed that they needed to walk towards the middle of the structure to allow other children to have space once they reach the top of the structure. S1 stated that C1 wanted to see who was next climbing the wall so the child grabbed both rails, leaned forward, and fell down. Once S1 arrived at the climbing wall area they saw C1 on the floor and observed that the child had scrapped parts of her face and bruises on her shins. Per S1, they checked C1 from head to toe and made sure that nothing was broken. Page 1 of 3 S1 took C1 inside the classroom and provided an icepack, water, called the nurse, and parents. The nurse came to assess the child from head to toe as well. Parent came to pick up C1 and was encouraged to take the child to the doctor; however, parent decided not to take the child to the doctor. C1 is still enrolled and attending the facility. S2 who is a witness to the incident was not present during today’s inspection. LPA conducted an interview with C1, and the facility representative was present. LPA, C1, and the facility representative went to the play structure where the incident occurred. C1 explained what happened when they finished climbing the wall. Per C1, they fell down and they scraped there face and nose. According to C1, there teacher was near/present when the incident occurred and stated they were given an icepack. C1 also stated that they were not taken to the doctor. On 02/05/26 at approximately 09:45am child 2 (C2) and C3 were running around the playground when suddenly C3 fell down and C2 fell on top of C3. C2 and C3 did not have any marks, bumps, or bruises; however, C2 was showing discomfort on their left arm. Staff assessed both children and provided C2 with an ice pack. The program nurse was contacted and advised that C2 should be picked up early. Parent of C2 arrived at the facility and took C2 to the emergency room (ER) where they referred the child to Children’s Hospital. On 02/06/26, the parent of C2 notified the facility that the child had a fracture on his left arm and provided a doctor’s note. On 02/06/26, the program nurse created an individual health plan with the parents of C2. The care plan was reviewed with staff to accommodate the child’s physical restrictions. C2 returned to the facility on 02/09/26 with restrictions. LPA conducted an interview with S1 who stated that they were indoors when the incident occurred. Per S1, S2 stated that C2 and C3 were running in the grass area when children tripped and C2 fell on top of another child. S1 stated that S2 noticed that the way C2 was crying was not normal which raised concern and provided an ice pack. Per S1, S2 called the nurse and explained what occurred and the nurse informed S2 to call parents of C2 for an early pick up. Once parent of C2 arrived, S2 explained what occurred and C2 was taken to the ER. S2 who is a witness to the incident was not present during today’s inspection. LPA interviewed S3 who denied observing the incident. S3 recalled returning from their classroom and observed C2 sitting with a teacher and then saw the child was taken to their class where an icepack would be provided. LPA attempted to interview C2 and C3; however, C2 did not speak to the LPA and C3 spoke with the LPA in their native language (Vietnamese). Page 2 of 3 During the inspection LPA toured the area where both incidents took place. LPA observed that C2 had a cast and was walking with his teacher during outdoor play. The play structure, materials, and equipment for children are in good condition and age appropriate. Currently the facility allows one child at a time when climbing the wall. Staff should remind children that once they reach the top, they should move along for other children to have space when reaching the top of the structure. According to staff, the grassy area may have some holes due to gofers or for other unknown reasons. LPA advised the facility representative to ensure that the grassy area is safe prior to staff and children use. Per the facility representative, they submit work orders when they observe holes in the grass area to ensure children and staff are safe while outdoors. During this inspection, LPA interviewed Staff 1 (S1 thru 3), Child 1 (C1 thru 3). LPA reviewed files for C1 and C2 and observed that C2 had a care plan and doctor’s note. LPA also obtained copies of the care plan and doctor’s note. 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. An exit interview was conducted, and a copy of this report was provided to the facility representative Denise Maria. Page 3 of 3