Follow-up on corrections·June 20, 2025

On the date and time listed above, Licensing Program Analyst (LPA) Chase Atherton, arrived at the facility to conduct a Case Management inspection for the purpose of addressing separate matters that were discovered during an inspection at the facility on 5/2/2025 & 6/20/2025. During the above inspection dates LPA made observations, conducted interviews with pertinent parties, reviewed records, and reviewed video footage. While conducting an inspection on 5/2/2025 & 6/20/2025, it was disclosed that Child 1 (C1) had a chronic biting behavior. Information gathered stated that between the dates of 2/18/2025 & 4/23/2025 there were at least 9 biting incidents involving C1 as the child who bit another child; 2 biting incidents occurred in the month of February and 7 biting incidents occurred in the month of April. Information gathered stated there were three days in April where C1 bit another child 2 times. The biting incidents were documented on Biting Reports which were signed by the staff and authorized representatives. Information gathered stated 4 of the 9 biting incidents broke the skin of the person who was bitten. Additionally, information gathered stated that staff were given general instructions to keep an eye on C1\342\200\231s biting behavior, however there was no formal explanation of steps to take to reduce how often C1 was biting. At the time of these incidents, nothing substantial had been implemented in order to reduce the amount of biting from C1 or to ensure that all children\342\200\231s Personal Rights were not being violated. This does not comply with Title 22 regulations. Additionally, the unusual incident that skin was being broken during child to child biting incidents, was not reported to the Department. The information gathered stated that the facility did react appropriately to the event by administering first aid to the children, but the facility did not submit a report detailing those events to the Department. This does not comply with Title 22 Regulations. See LIC809D for the deficiencies cited . LPA Chase Atherton informed Facility Representative Pamela Fox that this report dated 6/20/2025 document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Chase Atherton informed Facility Representative Pamela Fox to provide a copy of this licensing report dated 6/20/2025 that documents any Type A citation(s) 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. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted, and report was reviewed with the facility representative Pamela Fox.