Incident investigation·November 9, 2023

On 11/9/2023, at 1:30pm, Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection regarding a self - reported incident. LPA met with Assistant Director, Cassidie Justo. LPA discussed the purpose of the inspection and was led on a tour of the facility. There were 53 napping children with five (5) staff, eight (8) of the napping children are 18 -36 months. On 9/18/2023, the director self- reported an incident involving Child #1 (C1) [See Confidential Names]. Per Director, the incident occurred on 9/14/2023 at approximately 10:00am. Director reported that C1 was on the playground climbing on the net area of the climbing wall play structure when she lost her footing causing her to lean backwards landing on both of her hands. C1 sustained an injury requiring medical attention. Interviews were conducted with the the Assistant Director, Staff #1 (S1) [See Confidential Names] and C1's Authorized Representative. S1 stated that she was supervising C1 while she was playing on the play structure, however she was unable to break the fall. Assistant Director stated that ice was immediately applied to the injury and C1's authorized representative was contacted immediately. S1 stated that she and Staff #2 (S2) [See Confidential Names] were supervising 12 children on the playground during the time of the incident. LPA was unable to observe the climbing wall play structure. Assistant Director stated that the play structure was removed from the playground. On 9/18/2023, Director, Elizabeth Cortese provided a photo of the play structure along with the incident report. During the inspection, LPA was provided a copy of the manufacturer's manual and it was determined that the climbing wall play structure is not age appropriate for a three year old. The play structure is designed for children ages ages 4 - 8 years of age. See LIC 809C Continuation... Based on interviews and manufacturer's manual, one (1) Type A deficiency of California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 809D. An exit interview was conducted with Assistant Director, Cassidie Justo, and a copy of this report, Appeal Rights and Confidential Names (LIC 811) were provided to Assistant Director. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Notice of Site Visit posted on the bulletin board at the entrance.