Incident investigation·April 11, 2023

A case management inspection was conducted today by Licensing Program Analyst (LPA), Odom who met with the Director, Siti Villarreal. A self-report incident by the facility was received at the regional office on 3/29/23 which stated that child #1 (C1) was left in the outdoor playground restroom unsupervised for 5-10 seconds. Upon arrival there were 2 staff present without any children in care. Director stated children begin to arrive at 2:37pm. At 2:42pm census was taken today and there was a total of 30 school age children with a total of 3 staff members. 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, 1 child and obtained a copy of the children roster, personnel report, and took pictures. From the interviews conducted it was discovered on 3/28/22 at around 4:20pm during outdoor play right before clean-up time to head into the classroom, C1 told Staff #1 (S1) they were going to the restroom. S1 notified the rest of the staff that C1 had gone to the restroom via walkie talkie. While C1 was in the outdoor restroom located 28 feet from the basketball court the children cleaned up, headed back into the classroom with S1. Less than 1 minute after S1 walked inside the classroom with all the children, C1 appeared in the classroom alone announcing that C1 was left alone in the restroom. Staff #3 (S3) stated when they spoke with S1 regarding the incident S1 disclosed they failed to conduct a head count upon entering the classroom. LPA interviewed C1 and C1 disclosed staff forgot C1 was in the restroom. Based on the information gathered from the interviews conducted, observation and records reviewed. It was determined that C1 was left in the restroom unsupervised for about 1-2 minutes. Continue to page 2 Page 2 The facility was not in compliance of the California Code of Regulations, Title 22, Division 12. The following citation Responsibility for Providing Care and Supervision section 101229(a)(1) was issued today on the attached LIC 809D. LPA Odom informed director Siti Villarreal that this report dated 4/11/2023 document 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA Odom informed the director Siti Villarreal to provide a copy of this licensing report dated 4/11/2023 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 Siti Villarreal. 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.