Incident investigation·August 12, 2021

Licensing Program Analysts (LPAs) Blanca Ruiz-Silva and Samuel Lopez arrived at the facility to conduct a case management inspection in response to the receipt of an unusual incident report (UIR). The incident occurred on 7/16/2021, and LPA Ruiz-Silva was notified of the incident on the same day. The written incident report (LIC 624) was submitted by the facility on 7/26/2021. Upon arrival, LPAs were greeted by Silvia Gonzalez (Community Assistant), which informed the LPAs that the facility was closed as of 7/30/2021, and was scheduled to re-open on 9/27/2021. LPAs informed Silvia the purpose of the visit and were given authorization to enter the facility. LPAs toured the facility, including the playground, took photos, and gathered documentation. During the inspection, Site Manager II, Nora Ramirez, arrived and provided additional information regarding the incident. . The report documented an incident involving a child that had injured his/her arm, as they played on the play structure with other children. According to additional information obtained, there were two staff members in the playground supervising a total of ten children. One staff was located by the swing set, and observed when the child tried stepping down, from near the top of the slide, and then falling on his/her arm, causing the injury. The other staff was near by, engaged in an activity, with other children and did not see the incident. First aid was administered, via an ice pack, and the parent/guardian was notified. The child did miss time from the facility ; however, he/she returned on 7/23/2021. Based on the information gathered, there are no violations of Title 22 regulations, at this time. An exit interview was held with Nora Ramirez, Site Manager II. A Notice of Site visit was issued, along with a copy of this report. A copy of this report must be made available to the public, at the facility site, for 3 years.