Incident investigation·November 1, 2022

On November 1, 2022 at 2:37 PM, Licensing Program Analyst (LPA) Marie Hernandez, conducted an unannounced Case Management Inspection and met with the Facility Representative Katie Wendt. Present were forty six children with seventeen staff. On 09/19/2022, the Department received the incident report from the facility. The facility reports that on 09//12/2022 at 12:15 PM, that child in question was playing with her sibling when the sibling inadvertently pulled child in questions arm. LPA conducted several confidential interviews with the child in question, her sibling and the teacher (witness). The interviews revealed that the sibling inadvertently pulled child in questions arm. The teacher immediately tended to child in questions needs and applied ice directly to the area of pain around child's elbow. The parent was contacted and took child to the doctors. The child in question was diagnosed with nursemaid elbow. It has been determined that the incident was an accident. The teacher observed the incident and child's sibling inadvertently pulled child's arm. This concludes the incident review. An exit interview was conducted and LPA Marie Hernandez explained the case management inspection report. The Facility Representative was provided the facility evaluation report, appeals rights and the notice of site visit. The Representative was advised that the notice of site visit must be posted in a prominent place for 30 days.