Incident investigation·February 18, 2025

On February 18, 2025, Licensing Program Analyst (LPA) Stephanie Piring, met with Facility Representative (Director) Dawna Allred for an unannounced case management inspection regarding a self reported incident which occurred on 02/04/2025. LPA observed care and supervision of 12 toddlers being supervised by 3 staff and 12 infant child ren being supervised by 3 staff. It was reported that on 02/04/2025 approximately around 5:15 PM , a toddler child was placed on the carpet after having their diaper changed. The child was brushed by another child and fell back hitting their head. Staff immediately picked the child up to comfort the child and placed an ice back on the back of the child's head. After comforting the child for approximately 15 minutes, the child was responsive, laughing, and interacting with the staff. The child was placed back down on a mat, the chid slumped over and was unresponsive. The staff brought the child to the director and 911 and parents were called. Paramedics arrived and took the child vitals, which appeared normal. The child became alert during the examination and the child's mother also arrived. The child was transported with mother to receive further medical examination. All test and CT scan came back normal. LPA spoke with the Director and reviewed the internal investigation that was conducted. LPA learned that it was approximately 15 minutes time span between the time that the child hit their head and became unresponsive. The director explained that it seemed as if the child was in a deep sleep, the child would move and had eye movement when staff rubbed the child's chest and tummy to try to get the child to awake. The director shared that the parents stated the child gets injuries all the time, the child has since retuned with a helmet for precautions. LPA advised facility to call parents immediately anytime there is a head injury. Based on todays visit, LPA concluded that no Title 22 regulations were violated. Exit interview conducted and report was reviewed with Facility Representative Dawna Allred . A notice of site visit was given and must remain posted for 30 days.