Incident investigation·July 30, 2025

On 7/30/25, at 1:50 PM, Licensing Program Analyst (LPA) Matthew Sapien made an unannounced Case Management inspection at the abovementioned Child Care Center (CCC). LPA met with Holly Hively, Site Supervisor of the CCC and explained the nature and purpose of the inspection. LPA, in the company of the Site Supervisor, toured the interior and exterior of the CCC. At the time of the inspection, LPA observed 28 children in care. In addition to the Site Supervisor of the CCC, LPA also observed 7 additional staff members at the time of the inspection. This Case Management inspection follows an Unusual Incident at the CCC which occurred on 7/15/25. On the following day of the incident, 7/16/25, it was reported to the Department. Importantly to note, the CCC's current hours of operation are 7:00 AM until 6:00 PM Monday through Friday. During the incident, a child in care was using spinning monkey bars on the outdoor playground. While playing, the child fell off the spinning monkey bars and tried to brace themselves before hitting the ground. Because of the fall, the child landed directly on their left arm. CCC staff immediately gave the child ice packs to help with the pain and immediate swelling. The CCC also notified the parents of said child and the child was picked up and taken to the nearby hospital. The following day of the incident, 7/16/25, the staff contacted the parents who informed staff that the child fractured a bone near the elbow, is currently in a soft cast, and will eventually be put into a hard cast. Facility Representative informed LPA that the child returned to the CCC on 7/22/25. At the time of this inspection, the child was present and observed in a hard cast. During today's visit, 7/30/25, the LPA viewed the facility with an emphasis on the playground and the spinning monkey bars that child fell from. LPA observed the monkey bars to be age appropriate (ages 5-12) for the injured child and the cushioning (wood chips) to be adequate for children in care. LPA reminded the Facility (CONT. 809-C, Page 2). Representative of the importance of direct supervision over children in care and to ensure each child in care uses age appropriate equipment and structures at all times. Facility Representative was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. An exit interview was conducted with Facility Representative, Holly Hively. Facility Representative was provided with a Notice of Site Visit (LIC 9213). The Notice of Site Visit form must be posted for 30 days or a civil penalty of $100 may apply.