Incident investigation·January 14, 2025

Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Rebecca Michael (Representative), for a case management inspection regarding a self-reported incident. The purpose of the inspection was explained to Representative. On 01/08/2025, Representative self-reported and submitted a written Unusual Incident Report LIC 624 (UIR) to document that on 01/07/2025, staff left a child (Child1) unattended on the playground for 40 seconds during the transition from the playground to the classroom. Staff members informed Representative about the incident, and Representative notified Child1's parent and the Department. Based on interview and record reviews, a Title 22 Deficiency has been issued on the attached LIC 809-D page. Representative was informed that the deficiency cited today is a Type A deficiency. Because this is a repeated citation for the same deficiency within the last 12 months, which the facility incurs an immediate civil penalty assessed in the amount of $250.00 . Representative shall also provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. Exit interview was conducted, appeal rights were provided, and notice of site visit was given to Representative, who will post it where visible to parents/guardians for 30 days. A signed Acknowledgement of Receipt of the Licensing Report (LIC 9224) must be placed in each child's file for verification.