Incident investigation·May 5, 2025

On 05/05/2025 Licensing Program Analyst (LPA) Justin Giese made an unannounced visit to the facility to follow-up on the submission of an Unusual Incident Report (UIR). The UIR outlined an incident which occurred on 04/09/2025 pertaining to Personal Rights. LPA met with Facility Director, Anita Jones. According to UIR on April 09, 2025 Facility Staff self-reported an incident where a child in care sustained a potential injury on the playground. UIR stated that around 10:45am, a child in care removed their shoes while playing outside on the facility playground. Staff witnessed the child remove their shoes and instructed the child to put their shoes back on due to potential safety concerns. It was stated the child retrieved their shoes and Staff was guiding the child by the hand to a location where they could assist the child in putting the shoes back on. UIR stated the child pulled away from staff while holding their hand and intentionally dropped/fell to the ground. It was stated after the child fell, they informed their wrist/arm had pain. The parent/guardian of the child was contacted, and the child was picked up shortly after incident. UIR stated the parent/guardian contacted the facility the following day to inform that the child had been seen by a physician and it was determined they did not have any injuries. The child then returned to the facility without restrictions. As part of this investigation, LPA interviewed all pertinent individuals and did not record any statement which lead to Staff intentionally pulling/tugging at the child prior to them intentionally falling to the ground. The incident appears to be accidental in nature and did not result in the child sustaining an injury. LPA was provided with an incident/ouch report for the child's potential injury as well as a note from the child's physician stating they had been seen in care. The note did not disclose any injuries/treatments rendered. Therefore, based on LPA observations, interview and records reviewed, there appear to be no violations of Title 22. Facility staff were present and quick to aid the child after the fall. Parent/guardian was notified immediately, and the Facility fulfilled its reporting requirements to Licensing. An exit interview was conducted, LPA provided Director, Anita Jones with a copy of this report and a notice of site visit on 05/05/2025. Notice of site visit must be displayed for the next 30 days.