Complaint·February 7, 2025

The adjacent living room has a couch positioned out of direct eyesight to the slide in play area. Interview with Licensee confirmed that if an individual is seated on the couch, they are not able to observe children playing on the slide in the adjacent room. During the investigation, Licensee was interviewed and admitted she was seated on the couch out of eyesight of the slide when she heard a child scream. Licensee rushed over to find C1 in the play area crying. Licensee stated C1 is non-verbal and was unable to tell Licensee what happened. Licensee brought C1 over to the couch to help calm C1 down. C1 began to calm down and was placed on a black circular chair in the center of the play area where the child began watching T.V. until they were tired. After C1s nap, around 10:00 PM \342\200\223 12:00 PM, C1 did not appear to be feeling well. Licensee stated C1 was picked up by parent around 4:00pm. After parent picked up C1, they came back inside and asked if something was wrong with C1s arm because they started screaming as soon as it was touched. Licensee failed to tell parent about C1 screaming earlier in the day and told the parent they thought C1 was coming down with a \342\200\234bug.\342\200\235 Parent informed Licensee they were taking C1 to the hospital due to the unusual behavior. Additional information obtained was that C1 was taken for a medical evaluation on 8/13/24, after leaving the daycare. C1 was diagnosed with a \342\200\234supracondylar fracture of left elbow.\342\200\235 The responsibility of the licensee to ensure that children in care are supervised at all times was not met, resulting in a child sustaining an injury. Based upon interviews conducted, and evidence obtained, the preponderance of the evidence standard has been met, and the allegation is Substantiated. An exit interview was conducted, and a copy of this report was reviewed with and provided to Licensee Patricia Munoz along with copies of the LIC9099C, LIC811 (confidential names list), LIC9099D, and Appeal Rights.