complaint·February 5, 2026

C1 fell out of their chair and sustained injury. Interview with the Director revealed C1 had told the Director of the injury and pointed to evidence of the injury; however, C1's authorized representative was not immediately notified. Medical records obtained confirmed C1 sustained injury when falling off of the chair. It was alleged the facility did not ensure C1 was offered clean clothes. This allegation was in relation to the incident where C1 was injured. LPA interviewed 2 staff, and 1 staff stated they didn't think to change C1, and the other staff stated there was too little evidence to warrant a change of C1's underwear. Ultimately, staff stated C1 should have been changed at the conclusion of the incident. Confidential, and staff interviews revealed C1 had an additional set of clean clothes and pull-ups available each day for C1 to wear should the need arise. The facility did not ensure C1's authorized representative was notified immediately after evidence of an injury occurred, and the child was not afforded safe, healthful, and comfortable accommodations to meet their needs. Thus the allegations are Substantiated. A finding that the complaint is Substantiated means that the allegations are valid because the preponderance of the evidence standard has been met. An exit interview was conducted, and a copy of this report was provided along with copies of the LIC9099-D (deficiency page), LIC811 (confidential names list), and Appeal Rights was provided. A Notice of Site visit was given, and the Licensee understands that it must remain posted for 30 days.