Incident investigation·March 26, 2024

An unannounced case management inspection was conducted on this date by Licensing Program Analyst (LPA) Carmen Odom in response to a self-reported incident dated 3/18/24. Present during today\342\200\231s inspection was the Site Supervisor, Lynette O\342\200\231Campo. LPA took a tour of the facility and census was taken in individual classrooms. The overall census observed was 25 preschool age children and 4 staff members. A review of adult records 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 3/18/2024 an Unusual Incident Report was filed with the Department to self-report an incident that occurred on 3/18/2024. Program manager reported on 3/18/24 at 12:00pm Staff #3 (S3) was notified that Child #1 (C1) was complaining that their tooth hurt. C1 told S3 that Staff #1 (S1) pulled C1\342\200\231s blanket from C1\342\200\231s mouth and it hurt their tooth. S3 observed C1\342\200\231s tooth was loose, but it was not bleeding. S1 denied pulling C1\342\200\231s blanket. Staff #2 (S2) did not observe the incident as they were helping another child fall asleep. S3 dismissed S1 from the facility until further notice. During the investigation, LPA obtained personnel report, children\342\200\231s roster, interviewed 2 staff, 1 child and reviewed records obtained. S3 stated on 3/18/24 around 12:20pm S2 asked to speak with S3 regarding an incident that occurred between S1 and C1, C1 was crying. S3 spoke with C1 and C1 disclosed that S1 had pulled the blanket from C1\342\200\231s mouth and it hurt their tooth. S1 disclosed they were helping C1 with the blanket because the blanket was wet and S1 told C1 to remove the blanket from their mouth. S1 denied hurting C1 in causing the tooth to be loose. S2 disclosed they did not observe the incident because they were assisting another child fall asleep. S2 heard C1 crying a lot and that when S2 went over to check on C1. C1 told S2 that S1 had pulled the blanket from C1\342\200\231s mouth and their tooth hurt. LPA interviewed C1 and C1 disclosed S1 pulled the blanket hard and it hurt. S3 stated as they were notifying S1 that they were going to be dismissed from the childcare center, S1 returned to the classroom to question C1 in an intimidating tone of voice. Continue to page 2 Page 2 S2 stated S1 was using a loud tone of voice when speaking to C1, S1 was mad and C1 seemed scared. S1 was dismissed from the facility until further notice. S3 reported the incident to P1, P1 does not recall C1\342\200\231s tooth being loose. Based on the information gathered from the interviews conducted with staff, child and records reviewed. It was determined that S1 pulled the blanket in an aggressive manner and used an intimidating tone of voice with C1. S1 has violated children\342\200\231s personal rights. Licensee will be cited under the California Code of Regulations, Title 22, Division 12, Chapter 1, Section - 101223 (a)(3) Personal Rights is being cited on the attached LIC 809D. This report cites Type A violation and shall be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file. Exit interview was conducted with Site Supervisor Lynette O\342\200\231Campo. Notice of Site Visit was posted during the inspection. Facility representatives 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. Facility representatives was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.