Incident investigation·March 28, 2023

Licensing Program Analysts (LPAs) Mila Quinto and Aidee Nunez conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 3/22/2023. LPAs met with Site Supervisor Andrea Castillo. There were 3 staff and no children present at the time of the arrival. 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 3/22/2023, self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported a child sustained an injury from a hot soup spilling on Child 1 (C1) lap. During today's inspection, LPA interviewed 3 staff members. All staff stated when warming up food for the children, the warmed food is placed on the cart to allow the food to cool off for approximately 5 minutes prior to serving to the children. According to Staff 1(S1), prior to snack time, S1 warmed the soup in the microwave for C1. S1 stated placed the hot soup on the table while it was hot and informed C1 to wait for S1. S1 admitted did not wait 5 minutes and placed the hot soup on the table infront of C1. Another child threw a ball and landed on the table and hit C1’s soup causing the soup to land on C1’s lap. Staff 2 (S2) stated heard C1 scream and quickly assisted C1 and witnessed C1’s lap was burnt. Staff 3 (S3) stated called C1’s parent right away. C1’s parent arrived at the facility to drop off an ointment and C1 stayed in the facility until the normal pick-up time. On 3/27/23, LPA interviewed Parent 1 and stated C1 did not seek medical evaluation and have continued to apply ointment at home. Page 2 Based on LPA’s interviews conducted with 3 staff members, the following deficiency is being cited in accordance with California Code of Regulations, Title 22, Division 12, Section 101223(a)(2) Personal Rights. The deficiency is being cited on the attached 809D. An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The facility representative 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 facility representative 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. Failure to post Type A Reports for 30 days will result in a civil penalty of $100.00.