Incident investigation·February 23, 2022

Licensing Program Analyst (LPA), Joe Macias, conducted an unannounced case management inspection in response to an unusual incident that the facility self reported to Community Care Licensing (CCL) on February 8, 2022. LPA met with the Director Ghennay Woods, and Assistant Director Sheriden Cooley and explained the nature of today's inspection. LPA toured the Facility both inside and outside during todays visit. This inspection was made to inquire about an unusual incident that occurred on February 3, 2022. During today's inspection LPA Macias toured the facility, interviewed staff, reviewed facility files, and obtained copies of pertinent information. Based on staff interviews, as well as the self reported incident report; a child's diaper was not changed during the duration of being present at the facility. Prior to today's inspection the Director has reviewed diaper changing procedures with all staff. The facility held an all staff training to ensure the agency's policies are followed. Disciplinary action was taken against staff involved, and there is on going staff development. LPA Macias reviewed the diaper board procedures, and observed it in action. As a result of this inspection a deficiency was cited. Appeal right were printed and reviewed with the Director. Type A cited, exit interview conducted, and a copy of this report was provided to the facility. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.