Incident investigation·April 21, 2026

Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 04/21/26 at 09:00 a.m. The purpose of this inspection is to follow up on an incident reported to the Department within 24 hours. At 09:11 a.m., LPA met with the facility representative Monica Bonilla who guided LPA on a tour of the facility and census was taken. On 03/27/26 at approximately 11:12 a.m., Child 1 (C1) arrived at their classroom while their parent was holding the child’s hand and speaking to the Staff 1 (S1). C1 began to move around, jumping, and let go of his parent’s hand. C1 threw himself backwards hitting the back of his head on the metal part of the of the classroom emergency supply wagon which is near the entrance of the classroom. Parent immediately picked up C1 and S1 noticed blood on the parent’s hand. S1 alerted the parent of C1 that they had blood on their hand and began applying pressure/first aid on C1 head. The parent informed S1 that the child would be taken to the doctor. Staff notified the program’s health staff, supervisor, and completed an ouch and head report. A copy of the ouch and head report was given to C1 parent. According to the parent, C1 was treated and released on the same day. On 03/30, C1 returned to the facility; however, the facility was not able to accept the child since the facility needed a doctor’s clearance. The program nurse followed up with mom and provided a form that the doctor must complete prior to the child’s return to the facility. Per the parent, C1 needed one stitch of the back of his head, and a copy of the child’s emergency visit was provided to the facility. LPA conducted an interview with S1 who stated that they were present during the arrival of C1 and were speaking to the child’s parent in the entrance near the emergency wagon. S1 observed that C1 was having a hard time washing their hands so the child’s parent grabbed his hand. Page 1 of 2 The parent let go of his hand and C1 pulled backwards resulting in hitting their head on the metal part of the emergency wagon. Per S1, the child’s parent immediately picked up C1, and staff observed blood on the parent’s hand. S1 alerted the parent that there was blood, grabbed gloves and applied pressure while the parent washed their hands. S1 held C1 while applying pressure and observed that the child wanted to go to sleep. S1 asked the parent of C1 if they wanted the staff to call 911; however, the parent declined and stated they would take the child to the Emergency Room (ER). According to S1, C1 was taken to the ER were he received 1 stitch and returned to the facility on 03/30; however, the child was returned home because they didn’t have a doctor’s clearance. Per S1, C1 returned on 03/31 with a doctor’s note and no restrictions. LPA attempted to interview C1 while they sat on a chair in their classroom and S1 nearby; however, the child turned away and didn’t want to speak with LPA. LPA toured the classroom where the incident occurred and observed a blue emergency wagon near the entrance. There is blue foam placed in the metal area near the wagon’s tire and additional foam was added to the wagon to prevent any injuries. During this inspection, LPA interviewed Staff 1 (S1 and attempted to interview Child 1 (C1). LPA reviewed and obtained a copy of C1 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 Monica Bonilla. Page 2 of 2