Incident investigation·July 5, 2022

On the date and time listed above, Licensing Program Analyst (LPA) Jessica Rubio arrived announced to investigate an unusual incident report dated 5/20/2022 describing a child (C1) waking up from a nap vomiting and shaking. LPA requested and reviewed documents and interviewed Director of Program & Operations Sara Salazar, and two staff (S1 & S2) who were present in the classroom when the incident with C1 occurred. Based on confidential interviews conducted it was revealed that C1 had foaming saliva coming from C1’s mouth, and appeared to be choking. It was also revealed during this time C1 was unresponsive and limp while staff was attending to C1 and C1’s color was also purple. It was revealed that from the time C1 was vomiting/choking to when C1 woke and became responsive was approximately 3-5 minutes. After C1 became responsive and was crying, it was revealed C1’s left side of their body was still limp, C1’s eye was twitching and C1 could not close their mouth. The facility contacted C1’s parent to tell them about the incident and C1’s parent arrived to take C1 for medical attention. At no time during the incident or after did the facility contact Emergency Medical Services for C1. The facility is being cited for Title 22 Regulation Section 101226 (c) Health Related Services. A copy of this report was provided to Director. The Notice of Site Visit and Type A Deficiency from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each. An exit interview was conducted, appeal rights were discussed and given to the Director of Program & Operations Sara Salazar along with a copy of LIC 9224 (AB 633).