Incident investigation·October 24, 2024

Licensing Program Analysts (LPA) Cynthia Sun conducted an unannounced case management inspection in response to a self-report Unusual Incident dated 10/18/2024. LPA met with Director, Regina Keith. Census was taken as follows: 1 staff supervising 11 preschool children in Room #105, 2 staff supervising 11 preschool children in room #4, 2 staff supervising 14 preschool children in room #5, and 1 staff supervising 7 children in room #1. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. On 10/18/24, Regional Office received a self reported Unusual Incident Report (UIR) stating Child #1 (C1)\342\200\231s arm at elbow was dislocated. Staff #2 (S2) stated Staff #1 (S1) was holding C1 hand and holding C1 to stand when C1 resisted and dropped body to the floor. S1 moved C1 so C1 would not continue to be pushed by C2. On 10/18/24 at 9:02 AM C1's parents informed facility that C1 had nursemaids\342\200\231 elbow, arm was relocated and C1 feels better. C1 is expected to be back to the program the week of 10/21/24. During today's inspection, LPA inspected facility, interviewed staff and children, obtained video recording of incident and obtained facility children and staff rosters. Due to insufficient information available at this time, the reported incident needs further investigation. PAGE 1 OUT OF 2 No deficiency was observed during today's inspection. An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the licensing office within 15 business days. The director was informed that the 'Notice of Site Visit' must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00. The 'Notice of Site Visit' must be posted on or adjacent to the door. PAGE 2 OUT OF 2 End of Report