Incident investigation·April 4, 2024

On 04/04/24 at 2pm, a case management inspection was conducted today by Licensing Program Analyst (LPA) Anna Chan who met with the Director, Amber Welch. LPA was led on a tour of the facility. There were 3 staff present and 6 infants in care. A self-reported incident by the facility was received at the regional office on 11/27/23 which stated that child #1 (C1) sustained 2 nd degree burn from spilling hot water from the bottle warmer. 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. Based on staff interview, Staff #1 (S1) stated that on 11/27/23, while carrying C1, S1 sat C1 on the counter and grabbed the warmed milk bottle, the bottle warmer with water tipped over and spilled hot water. C1 started to cry and S1 realized that the hot water went to C1’s legs. S1 immediately removed C1s pants and placed C1s legs on running water and called emergency services. Parent #1 (P1) stated that C1 sustained burns and was instructed by the physician to continue to wrap the child’s legs and apply burn cream. P1 stated they are not upset for what happened and the facility did the right thing to call the paramedics right away. Based on LPA’s observation on 01/18/24, there were scattered reddish burn marks on the right and left inner thigh and back of left knee of C1. Photos were taken during the observation. LPA received medical report from the Emergency Medical Services (EMS), the report stated that EMS continued to monitor child until transported to the hospital. The medical report indicates that the child sustained hot water scald burns to bilateral lower extremities that child sustained burns. Patient was given burn dressing and topical meds for burns. Patient was discharged the same day on 11/27/23. Page 1 of 2 Based on LPA’s interviews, observations and records reviewed, the facility was not in compliance of the California Code of Regulations, Title 22, Division 12. The following violations was cited, 1 Type A was issued today on the attached LIC 809D. LPA informed Director, Amber Welch that this report dated 04/04/24 documents 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 informed the Director, Amber Welch to provide a copy of this licensing report dated 04/04/24 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, Amber Welch. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty 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. Page 2 of 2