Incident investigation·December 13, 2023

On 12/13/23 at 1:30 PM Licensing Program Analyst (LPA), Adrian Mangina conducted an unannounced visit to follow up on a self-reported incident that occurred on 12/4/23 at approximately 3:45 PM wherein child #1 was running and playing with child #2 when child #2 reached out and accidentally pushed child 1 down causing child #1 to hit head and require emergency medical assistance from paramedics. Census during this visit was 11 napping children with 5 teachers and one instructional aide in 2 classrooms. Proper ratios and supervision were observed. During the visit, LPA obtained the following documents: ouch report for child 1, sign in sheets for 12/4/23, child roster, and updated LIC624. LPA also interviewed witnesses. LPA interviewed Site Director Tania Bello who stated that there was a teacher and an instructional aide supervising 6 children children outside. LPA interviewed both staff present when the incident occurred. Staff #1 witnessed the incident from the second tier of a play structure. Staff 1 was on the play structure assisting three children slide and climb and was also watching child 1 and child 2 as the children ran around on the astroturf. The children were running on the only area outside where running is allowed as there is adequate cushioning under the play structure to help prevent injuries. Child 2 was pretending to be a dinosaur and playfully grabbed child 1 causing that child to fall. Staff 1 immediately provided care to the child as Staff 2 took over supervision of the children until more staff could arrive. Staff 2 did not witness the incident but heard the child cry and called to another teacher to get the Site Director\342\200\231s attention. Site Director called paramedics and parents and the child was transported to the hospital for further care. The child was medically cleared with restrictions to return to the facility 48 hours later. Supervision was in place, ratios were met, the facility responded appropriately and reported timely. This appears to be a random accident. No deficiencies are cited. Exit interview conducted and report was reviewed with the facility representative Tania Bello. A notice of site visit was given and must remain posted for 30 days.