Follow-up·May 27, 2026

On 05/27/2026, Licensing Program Analyst (LPA) Hanna Cha conducted a subsequent unannounced case management visit for an Unusual Incident Report (UIR) received at Palmdale Regional Office (PRO) on 05/13/2026. At time of arrival, there were eight teachers providing care to 44 preschool-age children. Description of Incident: On 05/12/2026, staff were informed that Child #1 (C1) shoulder was dislocated while in care. Staff reports the child was crying while in care. Staff stated they are not aware of how the injury occurred. Child was diagnosed with “nursemaid”. The investigation consisted of file review, observations, and interviews with parent of C1 and staff. Interviews with parent of C1 confirmed that this was the second incident of shoulder dislocated while in care. C1 received nursemaid diagnosis. Staff interviews disclosed that C1 was crying and that parents were contacted. Interviews with staff provided predictions of how the incident may have occurred, but did not provide clear disclosures on how the incident occurred. Interviews with staff revealed that C1 was cared for after the incident and parents were contacted. Due to the staff being unable to provide clear disclosures of how the incident occurred and due to a similar incident already occurred once on a previous occasion, a Type B citation issued. See 809-D. A Notice of Site Visit was given and must be posted for 30 days. Appeal Rights given. Exit interview conducted and report reviewed with the Facility Representative, Lisa Burtner.