Incident investigation·November 15, 2022

A case management inspection was conducted today by Licensing Program Analyst (LPA), Odom who met with the Director, Audriana Carillo. A self-report incident by the facility was received by regional office on 11/04/22 which stated on 11/03/22 at 10:14 am, Child #1 (C1) was running up the steps of a play structure, fell and hit the edge of the step, in which, it caused an open wound on the outer left eye brow area. C1 was taken to ER for medical attention and received 5 stitches. Census was taken today and there was a total of 57 preschool age children with a total of 6 staff. A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During this investigation, LPA interviewed 4 staff, and 1 child. LPA also obtained a copy of the children’s roster, personnel report, ouch report and took pictures of the outdoor play structure and C1. Through interviews conducted with children and staff, it was disclosed by all 4 staff that none of the staff that were present on the day of the incident did not observe how C1 fell and injured themselves on the play structure. Staff #1 (S1) stated they did not observe how C1 fell due to their back turned away from the play structure. Staff #4 (S4) stated they did not observe how C1 fell due to being on the other side of the playground. C1 disclosed none of the staff observed how C1 fell and they had to notify S1 that they had hurt themselves. Staff #3 stated they asked staff how C1 hurt themselves and none of the 3 staff had observed how C1 fell, C1 told S3 how they fell and hurt themselves. C1 was shown a picture of the play structure and C1 pointed to steps of the play structure where child fell. The facility was not in compliance of the California Code of Regulations, Title 22, Division 12. The following citation under lack of supervision section 101229(a)(1) was issued today on the attached LIC 809D. Continue to page 2. Page 2 LPA Odom informed Director Audriana Carrillo that this report dated 11/15/22 document 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety of children in care. Also, LPA Odom informed the Director Audriana Carrillo to provide a copy of this licensing report dated 11/15/22 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Exit interview conducted and report was reviewed with the Director Audriana Carrillo. A notice of site visit was given and must remain posted for 30 days. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.