Incident investigation·November 26, 2024

On 11/26/2024, at approximately 8:30AM, Licensing Program Analysts (LPAs) Jonathan Tse and Jaclyn Naves conducted an unannounced case management visit regarding a self-reported incident. LPAs met Director, Jessica Smith and explained the purpose of the visit. Present during the visit was Director, nine staff 17 preschool age children, and six infants. The facility submitted an incident report on 11/12/2024 for an incident that occurred on 11/8/2024. A child was left unsupervised in the facility's outdoor play area for approximately four minutes. The facility reported the incident to the child's parent and notified the Regional Office within seven days. During the visit, LPAs conducted site observations, record review, and interviewed the Director. Per Director, individual meetings and a general staff meeting were conducted. Supervision policies and procedures were discussed. Name-to-face and frequent counts were discussed. LPAs observed the facility to be operating within staffing and ratio requirements on this day. Children were within visual supervision of a teacher at all times during the visit. Based on interviews and record reviews, the facility did leave a child unsupervised in the outdoor play area. LPAs acquired signed meeting memos from the staff members involved during the visit. The facility has taken steps to address the violation and ensure that all staff are aware of supervision and transition procedures. LPAs informed Director that a Type B deficiency would be cited and cleared during today's visit. During the visit, LPAs observed that one staff member, S1, was not associated to the facility. Per Director, S1 had prior fingerprint clearance. LPAs checked S1's fingerprint clearance and found that they had an active fingerprint clearance. Director filled out a Criminal Background Clearance Transfer Request form (LIC9182) and provided it to LPAs during the visit. S1 was associated to the facility by LPAs. LPAs informed Director that a Type A deficiency would be cited and a civil penalty of $100 assessed during today's visit. Director stated that they understood. Continued on Page Two Page Two ***THIS IS AN AMENDMENT OF ORIGINAL REPORT DATED 11/26/2024.*** See LIC809-D for deficiencies cited and cleared during today's visit. Appeal rights were provided and explained to the Director. A notice of site visit was provided and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Jessica Smith.