Complaint·December 6, 2023

The allegation is that an infant sustained an unexplained fracture while in care. The Department received a complaint on 08/07/2023 alleging that an infant sustained an unexplained fracture while in care. The complaint was assigned to the Department’s Investigations Branch’s Investigator Angelica Medina. Medina interviewed complainant, parents, staff, medical personnel, and reviewed records. Medina interviewed Parent (P1) on 10/25/2023. P1 stated the Child (C1) was dropped off by (P1) in the morning and picked up by Parent #2 (P2). After dinner on 04/01/2022 P2 was assisting C1 with hand washing when C1 began to cry. P1 states that the initial thought was that C1 had sprained their arm and it was not until bath time that C1 began to guard their arm and the arm began to look swollen. P1 and P2 believed that the arm may have been hurt at day-care. A message was sent to C1’s pediatrician on 04/02/2022 to schedule an office visit. P1 and P2 were able to secure an appointment with the pediatrician on 04/05/2022, P1 stated that the Pediatrician's diagnosis was that C1 had a greenstick fracture (A greenstick fracture is a type of broken bone. A bone cracks on one side only, not all the way through the bone). On 08/14/2023 IB investigator interviewed staff present on the day of the alleged incide n t , Staff #1 – Staff #3 (S1, S2,S3) , and Staff #4 (S4) on 08/15/2023. Staff #1 (S1) stated that the facility was notified about the alleged incident that occurred on Friday, 04/01/2022 until Monday, 04/04/2022 around 2:10 p.m via the facility’s day-care app. the facility uses to communicate with families. S1 stated whenever a child falls or hurts themselves, they inform the parents and take pictures right away through the day-care app. S2 was interviewed on 08/14/2023 by Medina. S2 mentions that they did not witness C1 hurting themselves and recalled C1 using both arms to move around the classroom on 04/01/2022. S2 mentions not witnessing any bruising on C1's left arm that day. S3 was interviewed on 08/14/2023 by Medina. S3 states not witnessing C1 having any falls or hurting themselves while in care. S3 mentions that if anything had occurred staff would report it. S3 mentions that C1 crawling and was adjusting to standing while holding on to things. S4 was interviewed on 10/16/2023 by M edina. S4 states they did not witness anything concerning occur to C1 on 04/01/2022. S4 mentions staff using the app to communicate with families about the children's day. Two Parent Interviews were conducted by Medica. Medina interviewed both P3 and P4, no disclosures were made. Medina reviewed the following documents: Facility Roster, C1’s file, Unusual Incident Report for the alleged incident, , C1’s classroom daily report for 04/01/2022, and Medical Records. Based on IB investigator Angelica Medina including staff and parent interviews; and record review there is not enough evidence to substantiate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated . An exit interview was conducted with Director, MARIA TEEL . Notice of Site Visit was posted during the visit. The director was informed that the notice of the site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The director was provided with 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 at the address listed above.