Incident investigation·February 29, 2024

Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced Case Management inspection to follow-up on an Unusual Incident Report (UIR) submitted to Community Care Licensing CCL on 1/18/2024. LPA met with Assistant Director Lizbeth Perez-Uribe and toured the facility. LPA interviewed the assistant director, three staff members and reviewed, and was provided documentation during this inspection. On 1/18/24, CCL received information via UIR in regard to bruises being found on Child One (C1's) body. Confidential interviews revealed that C1 is very active, and is prone to sustain bruising. Staff interviews revealed that C1 is visually checked daily at the door for injuries and illnesses. Review of documents from C1's file provided by the center revealed that on Monday, 1/15/24 C1 was observed to have a "three dot bruise" on C1's right arm below the elbow. LPA observed a photograph that was taken, and witnessed a note by staff indicating that C1 was checked on Friday, 1/12/24 before leaving the center with no new bruising. On 1/17/24, C1 was observed at check-in to have a cut on C1's eye (which led the center to report the incidents to CCL). In addition, the parents were aware of the incidents as each were the ones who dropped C1 off at the center with the injuries. Records review confirmed that the CCC was operating within proper staff to child ratios on the reported incident dates. Based on information gathered, the CCC acted appropriately and no violations of Title 22 have been identified. An exit interview was held with Assistant Director Perez-Uribe. A copy of this report was issued, along with a Notice of Site visit. This report shall be public record for three years.