Incident investigation·November 17, 2023

On 11/17/2023, at 9:20am, Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection. LPA Williamson met with Director, Jennifer Quintero and disclosed the purpose of the inspection. LPA inspected and toured the indoor and outdoor of the facility. The following ratios were observed: Classroom #130 had seven (7) infants with two (2) teachers, Classroom #140 had eight (8) infants with two (2) teachers and two (2) aides. On 9/29/2023, the director self- reported an incident involving Child #1 (C1) and Staff #1 (S1) [See Confidential Names]. Per Director, the incident occurred on 9/27/2023 at 3:30pm. Director reported that she and corporate office staff observed S1 grabbing C1 by the upper right forearm and placing her on the floor in an inappropriate manner. Interviews were conducted with the director, regional director, S1 and C1\342\200\231s authorized representative. Per C1's authorized representative medical attention was not required for C1. LPA reviewed facility records for C1 and S1 and obtained copies of documentation. S1 denied grabbing the child by the upper forearm. S1 stated that she grabbed C1 by one hand while she continued to hold another child in her other arm. S1 stated that she was attempting to redirect C1 from entering the infant sleeping area. S1 stated that the grab of C1's hand and placing her on the floor was in no way meant to be harmful. S1 acknowledged that she should have used both hands in redirecting C1. C1 was unable to be interviewed due to age. Based on staff interviews and S1's own admission that she grabbed C1 by the hand in an hasty motion. S1 violated the personal rights of C1. S1 is no longer an employee at the facility. See LIC 809C Continuation... Director stated that she reviewed Title 22 personal rights regulation 101223 and the facility's policy regarding personal rights with each staff member individually. Director stated that each staff member was required to sign acknowledging receipt of this training. Based on staff interviews and S1\342\200\231s own admission, one (1) Type B deficiency of California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 809D. An exit interview was conducted with Director, Jennifer Quintero and a copy of this report, Confidential Names (LIC 811), Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.