Incident investigation·February 23, 2024

On 2/23/2024, at 1:35pm, Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection regarding a self - reported incident. LPA met with Director, Elizabeth Cortese and Assistant Director, Landra Marler and discussed the purpose of the inspection. LPA accompanied by the director was led on a tour of the facility and playground. There were 64 napping children with 10 staff, nine (9) of the napping children are ages 18 -36 months. On 2/5/2024, the director self- reported an incident involving Child #1 (C1). Per Director, the incident occurred on 1/30/2024 at approximately 5:00pm. Director reported that C1 was on the playground riding a bike when he got off the bike and began to run. C1 fell onto the back tire of the bike causing an injury that required medical attention. Interviews were conducted with the director, staff, and authorized representative for C1. Staff #1 (S1) stated that she and Staff #2 (S2) were supervising 12 children on the playground during the time of the incident. S1 stated that she observed the incident, however she was unable to break the fall. S1 stated that pressure was applied to the injury and first aid provided. C1’s authorized was present on the playground during the time of the incident. Director provided a photo of the bike and manufacturer's manual to the department. LPA confirmed that the bike is age appropriate for a three-year-old. The incident is determined to be an accident. An exit interview was conducted with Assistant Director, Landra Marler, and a copy of this report, and Appeal Rights were provided to the director. Notice of Site Visit was provided and 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.