Incident investigation·January 26, 2026

On January 26/2025, at 9:30 AM, Licensing Program Analysts (LPA) Oscar Picazo conducted an unannounced case management inspection to follow up on a self reported incident. LPA met with Licensee, Leticia Gonzalez. Upon arrival, LPA was greeted and granted entry into the facility by Licensee. LPA discussed the purpose of the visit and was led on a tour of the facility indoor and outdoor. Also present during this visit was Licensees assistant, Maria P Hernandez (S1) and nine (9) day care children, three (3) of who are infants. On January 13, 2025, Licensee reported an incident involving a day care child, child #1 (C1), where C1 became ill and required medical attention by emergency medical services. Per the Licensee, the alleged incident occurred on January 13, 2025, at approximately 9:56 AM, in the day care patio room. Interviews were conducted with the Licensee and staff (S1). None of the day care children present that day became or were made aware of the incident. LPA obtained a copy of the facility roster and C1's sign in/ sign out sheet. LPA inspected the day care patio room and determined there were no contributing factors and that it is safe and age appropriate. Licensee reported that she, her assistant and 11 day care children were in the day care patio room during the time of the incident. Licensee stated that from the time C1 arrived, C1 seemed groggy, was fussy and not "herself". She stated that at arrival, C1's mother had mentioned that something seemed "off" about her child (C1). As a precaution, Licensee took C1's temperature which came back within normal range. Based on the reading, licensee accepted C1 into her care for the day but asked C1's mother to keep her phone near by just in case her child's condition changed. Licensee stated that she, her assistant and the children were conducting an activity in the patio room when the incident occurred. See LIC 809C Continuation.. She states that they were getting ready to transition to the day care room when both she and S1 heard C1 start coughing, then vomit and looked faint. Licensee states that upon noticing this they proceeded to go tend to C1 when C1 suddenly slumped over to the right. S1 was closer and was able to catch C1 and picked up the child then handed C1 to licensee. Upon receiving C1 into her arms, licensee stated C1 felt feverish, saw C1's eyes roll back and them went limp. Licensee states she immediately called 911 and then called mom and informed her emergency services were in route. Licensee took C1's temperature again and got a reading of 102 degrees. She states that C1 would come in and out of conscienceless, cry, eyes would roll back and then go limp again. She states this continued for about the five (5) minutes it took emergency medical services to arrive and began to treat C1. Licensee estimates that C1's mom arrived about 10 - 15 minutes after emergency medical services arrived. She states that upon moms arrival, emergency medical services left with the child to the hospital and mom road with them. Licensee states she spoke with C1's mom later that evening who stated that C1 was examined by a physician, found to have nothing wrong and was released. Licensee states that mom said that doctors were unable to find what caused this episode but that it they attributed it to a possible passing virus that C1's body fought with the high temperature. Licensee states moms stated they were released within a few hours. S1 states she was in the day care patio room during the incident. She states that C1 seemed uncharacteristically unusual when the child came to join the group after arriving that day. S1 states C1 is always rather happy, playful and excited to play and engage in activities but seemed tired or like she might be coming down with something. However, C1 still attempted to participate in the activity the were doing. S1 states that although she seemed tired, C1 was started working on an activity. S1 estimates that C1 had probably been there about a half hour or so when she noticed C1 looking faint, started coughing followed by vomiting and then started to slump to the right. S1 states she hurried to C1 and was able to catch C1 prior to falling out of the chair. S1 states she picked C1 then immediately handed C1 to the licensee who then took C1 inside the house and called emergency services. Based on the staff interviews it was determined that neither staff, day care children or the day care environment contributed to C1 becoming ill and needing emergency services. It is further determined that staff took appropriate measures and actions to get C1 the care and emergency medical assistance the situation required. LPA found no regulation was violated or deficiencies to cite. The incident is determined a non-facility incident.