Incident investigation·February 8, 2024

On 02/08/2024, Licensing Program Analysts (LPAs) Ka Vang and Behatriz Gonzalez conducted an unannounced Case Management-Injury and was met Supervisor Susan Camago. A complete file review was conducted prior to today’s inspection. LPAs toured the facility and a census as taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) on 02/06/2024 regarding an incident that occurred on 02/06/2024. The purpose of this inspection was to investigate this incident, where Child #1’s personal rights were violated. On 02/06/2024, at 8:20 AM, C1 started having fever at 100.9, at 12:30 PM, C1 fever was at 102.4 and by 1:15 PM, C1 fever was at 103.2. LPAs conducted interview with Staff #1 (S1), Staff #2 (S2) and Staff #3 (S3) who were presented when the incident occurred. Per S1, at the time of the incident occurred, she was off-site; however, she returned to site and emergency personnel (9-1-1) was contacted at 1:23 PM as C1 fever continued to rise. S1 stated that S2, S3 and other staff have made multiple attempts to reach parent and emergency contacts via phone; however, parent did not answer the phone, and emergency contacts were not available. At 11:00 AM, a home visit was attempted by S3, but the parent was not home. LPAs conducted interview with S2, who directly supervised the classroom and witnessed this incident as C1 arrived at her classroom 8:15 AM. S2 stated that when C1 arrived, S2 observed child appeared to be tired. S2 asked C1 if C1 was feeling well and C1’s responded that C1 was tired. At 8:30AM, when the daycare children were having breakfast, S2 observed C1 did not want to eat her breakfast or lunch, however, C1 child drank a small amount of water. At 8:35 AM, S2 took C1’s temperature and it was 101; therefore, S2 contacted C1’s parent but the call unsuccessful. From 8:30 AM to 1:23 PM, as C1’s fever continued to rise, S2 continued to monitor by calling C1’s parent, and emergency contacts, but the contact was unsuccessful. Per S2, as C1’s fever continued to rise to 103.2, S1 then contacted emergency personnel (9-1-1). Per S2, during the incident, she was not aware of the next protocol if the parent was not able to reach. (Continued on LIC809-C). LPAs also conducted an interview with S3, S3 stated that her and anther staff conducted a home visit to C1’s home at 11:00 AM as S2 and the other staff were not able to get in contacts with one of C1’s parent via phone. When S3 and another FSSP arrived at the home of C1’s, there was no response from the home. S3 stated that she is not aware of the facility protocol, if once the parent was not able to be reached. During LPA Ka interviewed with S1, S2, and S3, they were not aware of the protocol if a child is involved extremely ill if the child’s parent is not able to be reached. Due to the severity of the incident as C1’s fever was increasing and no appropriate protocol was taken in a timely manner, this poses an immediate risk to the health, safety, or personal rights of children in care. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, there is deficiency been cited during today’s inspection. (See page LIC809-D for additional information). Upon receipt of a Type A violation, Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Director. Director was provided a copy of appeal rights. A notice of site visit (LIC 9213) was given and must remain posted for 30 days. This report shall be made available to the public upon request. Exit interview conducted and report was reviewed with Director.