Incident investigation·October 21, 2022

On the date and time listed above, a case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 10/04/2022. It indicates a child sustained an injury while running outdoors. On 10/14/22 an initial visit was conducted, and LPA reviewed records and conducted interviews with Staff and Parent. According to staff interviews conducted, there were 15 children present with 3 staff. Staff interviews reported child and a peer were running alongside each other, collided and fell onto the grass. Staff checked child\342\200\231s arm and did not note any swelling or bruising. Staff provided first aid (ice pack) for child\342\200\231s arm and asked child if they were okay to play. Child responded yes, denied any further pain and returned ice pack after five minutes. Child resumed participation in scheduled activities (small group, indoor/outdoor free play and snack) until pick up. Parent interview noted that the child\342\200\231s arm was swollen at pick up and took child to the doctor. Parent updated facility on medical status and appointments. Parent received an ouch report but noted there was a delay due to dismissal activity in progress and communication between teachers. Child interview reported they fell on the grass after running with another child. Child stated they had an ice pack then went to play and have snack. During the course of interviews, staff disclosed that due to child\342\200\231s participation in activities without any complaints of pain or injury; they did no further checks after initial incident; including a delay in notification to parent. LPA provided technical advisories on CCR Health related services 101226 and 101226.3 Observation of the Child. See LIC9102TV. On 10/14/22 at 10:25 AM, LPA toured and obtained photos of the outdoor activity area where incident happened. LPA did not observe any hazards on the ground. The grass area was open with even terrain. Based on information gathered from interviews and records, the facility acted appropriately, and no violations have been identified. Facility completed reporting requirements as required by CCR regulations for Unusual Incident Reports (submission of LIC624) to the California Department of Social Services. Facility maintained staff to children ratios for supervision (3 staff to 15 children); outdoor surfaces were free from debris and hazards, and maintained communication with parent. An exit interview was conducted, and LPA Carbullido provided Katrina Brooks with a copy of this report, appeal rights and notice of site visit during today\342\200\231s visit.