complaint·May 14, 2021

LPA conducted interviews with pertinent individuals related to this complaint. When interviewed, Child #1’s Parent/Guardian affirmed the facility documents all incidents and observations that occur in the facility and communicate them on written incident logs requiring a signature to acknowledge. Interviews conducted with Facility Director and Day Care staff did not indicate any isolated incidents resulting in the Child sustaining injury while in care pertaining to this complaint investigation. Staff #1 stated they observed the bruising/red mark on Child #1’s ear while they sat in Staff #1's lap during circle time. Staff #1 was able to observe the top of Child #1’s ear from her vantage above the Child. Staff #3 was working alongside Staff #1 and notified them of the observed bruising/red mark on the top of Child #1’s ear. Staff #3 then alerted the Director. Observation were made by all staff involved and date and time of observation were documented on an incident report. Director and Staff interviews corroborate the facility is responsible to report injuries and incidents to authorized representatives of children. During the investigation Director provided LPA with Incident Reports detailing accidents/injured and observations made by staff. Incident reports are discussed with parents/guardians and signatures are gathered to acknowledge receipt of Incident Reports. LPA observed the incident report pertaining to this complaint investigation signed by Parent/guardian of Child #1 acknowledging staff observations of injury. LPA reviewed the history of the Facility’s past Incident Reports, providing proof of the documentation of children accident/injuries or staff observations that occur in the facility are adequately documented, discussed and reported when they occur. Although facility staff took appropriate action by documenting their observations on an incident report and notifying the Parent/Guarding of Child #1, LPA’s observations and interviews throughout the investigation could not determine if the injury occurred at the facility and if it was a result of lack of supervision or other means. This agency has investigated the complaint alleging Child sustained unexplained injury while in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Continued on LIC9099-C An exit interview was conducted, LPA provided Facility Director with a copy of this report via email, along with an electronic “read/reply receipt”. The electronic read receipt or reply to the email acknowledges receipt of this report. AT THE TIME OF VISIT NO DEFICIENCIES WERE CITED A NOTICE OF SITE VISIT WAS EMAILED. DIRECTOR WAS INSTRUCTED TO POSTED IT IN A PROMINENT LOCATION AT THE FACILITY. THE DIRECTOR UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS. A copy of this report and appeal rights were emailed to the Director during this Tele-inspection on 05/14/2021.