Incident investigation·June 23, 2021

On June 23, 2021 at 12:00 p.m. Licensing Program Analyst, Leilani Curtis, conducted an unannounced inspection to follow up on a self-reported incident that occurred on 6/7/21, wherein a 5 year old child (C1) fell off the climbing structure and broke her arm. LPA met with Director Shani Woody and proceeded to tour the facility. There were 16 children with 2 staff members present. Appropriate ratio/capacity were observed. Staff members have the required background clearances and are associated to the facility. LPA interviewed Staff #1 (S1) and the Director. On 06/07/21 at approximately 1:30 p.m. C1 was climbing up the play structure when she fell landing on the sand below, injuring her right arm. Staff comforted the child and provided an ice pack for her arm. The parents of C1 were notified immediately and picked up the child. C1 was taken to the doctor and diagnosed with a broken arm which was placed in a cast. C1 returned to the facility on June 9, 2021. The play structure appears to be in good repair and is age appropriate. Underneath the structure is sand to absorb the impact of falls. At the time of the incident there were 6 children and 2 staff members present on the playground. Proper ratio and supervision were in place. The director states that staff constantly remind children of the playground rules. The facility responded appropriately. Community Care Licensing was notified of the incident via telephone on 6/15/21. The Unusual Incident/Injury Report was received on 6/16/21. A report of the incident was not made to the Department by telephone or fax within the Department's next working day and during its normal business hours. See LIC809D for cited deficiency An exit interview was conducted with the director and appeal rights (LIC 9058 1/16) were discussed. The director\342\200\231s signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post notice of site visit.