Incident investigation·July 19, 2023

On July 19, 2023 at 8:20 a.m. Licensing Program Analyst, Leilani Curtis, conducted an unannounced inspection to follow up on two self-reported incidents that occurred on 6/29/23 and 7/7/23. Upon arrival LPA met with Site Supervisor Claribel Zorrilla and proceeded to tour the facility. There were 61 children with 17 staff members present. Appropriate ratio/capacity were observed. Staff members have the required background clearances and are associated to the facility. At approximately 8:30 a.m. Director Tamara Holthaus arrived at the facility. LPA interviewed the director, staff #1 (S1), staff #2 (S2) and parent #1 (P1). On 06/29/23 at approximately 9:30 a.m., S1 and Staff #3 (S3) took their class on a walk to the baseball field. While the children were playing on the baseball field child #1 (C1) was stung by a bee. Staff members comforted the child and immediately contacted the child’s (C1) parent/guardian and campus police. Paramedics were called to the facility. The child was transported by the paramedics to the emergency room where he was treated for an allergic reaction to a bee sting. At the time of the incident there were 2 staff members and 16 children on the baseball field. Appropriate ratio was in effect at the time of the incident. C1 returned to the facility on 6/30/23. Facility staff responded appropriately, and the incident was reported to Community Care Licensing Timely. Facility staff did document the incident in the child’s file which is kept at the facility. On 7/7/23 at approximately 9:40 a.m. child #2 (C2) was playing on the “ladder bars” when he fell and injured his left arm. At the time of the incident there were two staff members and seven children on the playground. Appropriate ratio was in effect at the time of the incident. S1 immediately applied ice to C2’s arm and comforted the child. The parent/guardian of C2 was called and the child was taken to the urgent care and diagnosed with a fractured left arm. C2 returned to the facility on his next scheduled day. LPA toured the playground and inspected the ladder bars. The bars are approximately 4 ft. 5 inches from the ground. The area underneath the bars is padded with rubber padding to absorb the impact from a fall. Facility staff responded appropriately, and the incident was reported to Community Care Licensing timely. Documentation regarding the incident is in the child’s file which is kept at the facility. The director states that after the incidents occurred Health and Safety issues, including how to respond to bees and other insects, and playground safety was discussed at the master teacher meeting held on 7/7/23. See LIC809D for cited deficiency. An exit interview was conducted, and this report was reviewed with Director Holthaus. Appeal Rights (LIC 9058) were provided. The director’s 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.