Incident investigation·July 7, 2023

On 07/07/2023, A case management inspection incident was conducted by Licensing Program Analyst (LPA), Anna Chan who met with the Director, Christine Mitchell. Upon arrival at the facility, census was taken, there are 7 staff present and 21 children in care. 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. On 06/28/2023 a self reported incident was received at the Regional Office. It was reported that on 06/27/2023, during a snack rotation, child #1 (C1) was given milk as part of the snack. C1 has a known milk allergy. During investigation, LPA interviewed Staff # 2 (S2). S2 stated that C1 was given her own snack from home. When C1 was walking up after finishing a snack, Adult #1 (A1) was walking and giving cup made of styro foam with drinks to the children. S2 stated she was looking at C1 sipping on the cup, and when C1 placed the cup down the table, S2 noticed it was milk on the cup. S2 immediately took away the cup and rushed C1 to the admin office for observation. C1 has a known milk allergy that A1 was not made aware of. During the interview with Staff# 1 (S1), S1 stated, there was no outward sign of allergic reaction on C1. C1\342\200\231s parent #1 (P1) was notified right away and P1 advised to administer Benadryl. C1 was given Benadryl, but C1 gagged and vomited the medicine and the snack she ate prior. P1 arrived at the facility aprrox 10 minutes later, and administered epi-pen. 15 minutes after epi-pen was administered, C1 developed hives all over the body. Facility called 911 and C1 was transported to the hospital. C1\342\200\231s breathing and oxygen was fine according to the doctor. C1 returned to school on 06/29/2023. Page 1 of 3 Based on the information gathered from the interviews conducted and record reviews, it was determined that C1 was violated for food service. On 06/28/2023, a second self reported incident by the facility was received by the regional office. On 06/27/2023, C2 was seen unsupervised by Adult #2 (A2) in the toddler playground and notified S1. C2 was seen by S1 standing close to the locked gate of the toddler playground approximately 9 minutes later. During this inspection, LPA interviewed S1, S3 and S4 who is present at the time of the incident. LPA obtained a copy of the children roster, for week of 06/26/2023 and Personnel Summary Report. Based on LPA\342\200\231s interview with S1, A VBS Program (Vacation Bible School) on 06/27/2023 started, an outdoor activity bounce house was placed in front of the fellowship hall. Staff #3 (S3) was going for a break. S3 stated she made sure staffing and ratio is covered and communicated with the other staff present. S3 was with C2 before taking a break. S3 stated that C2 did not want to participate in the bounce house play rotation. S3 transitioned C2 and made sure C2 walked to S4. S3 then walked through the back path of the facility through the black gate on the right side facing the fellowship hall, the gate was not closed and had a brick at the bottom of the gate to keep it open. The alley going to the break room is about 200 feet from where the outdoor activity is. Before entering the break room, S3 made sure no children were walking behind her. On another interview with S4, S4 stated C2 wanted the snack she was distributing and asked for some and then went to the bounce house. S4 then announced to the children to start picking up their shoes. When the children were done picking up their shoes, S4 found C2's shoes and C2 was not present. S4 and Staff #5 (S5) started looking for C2 around the bounce house. When S4 and S5 did not find C2, the other staff in the area and in the admin office were notified about the incident and started looking everywhere. S1 was notified by A2 that C2 was spotted in the toddler playground. When S1 arrived at the toddler play area, C2 was alone standing by the gate which is enclosed and is locked with a security alarm. Based on the information gathered from the interviews conducted, it was determined that C2 was left unsupervised and the whole incident happened for approximately 9 minutes. Page 2 of 3 The facility was not in compliance of the California Code of Regulations, Title 22, Division 12. The following citations Food Service 101227(7)(B), and 101229(a)(1) Responsibility for Providing Care and Supervision is being cited on the attached 809D, and an immediate civil penalty was assessed. 101229(a)(1) is a repeat violation which was previously cited on 05/16/2023. LPA Chan informed director Christine Mitchell that this report dated 07/07/2023 for 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. LPA Chan informed the director Christine Mitchell to provide a copy of this licensing report dated 07/07/2023 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 Christine Mitchell. A notice of site visit was given and must remain posted for 30 days. Failure to post will result in civil penalties of $100. 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. First level appeals should be sent to the Regional Manager to the address listed above. Page 3 of 3 End of Report