Incident investigation·April 2, 2025

Licensing Program Analyst (LPA), Farida Raja arrived to conduct an unannounced Case Management inspection in response to an unusual incident that was self-reported by the facility to Licensing on March 19, 2025. The incident occurred on 01/18/2025 involving child, C1 and supervision. LPA met with Director, Anne Horgan and explained the reason for the inspection. LPA toured the facility and interviewed staff including Director. LPA inspected the physical plant. Based on interviews, it was determined that during a parent event at the end of the day, child, C1 ran out of the two facility entrance gates, outside the center and down the sidewalk parallel to the left side outdoor area. The child was noticed by parent, P2 and parent, P2 and staff, S1 brought the child back to the facility. C1s parents were not present for the event. There were three staff, parents and around 10 children outdoors at the time of the incident. During facility walk through LPA observed that both gates do not self close. LPA observed two tables and a wooden bench placed in the path leading to the gates to prevent a straight path toward the gates. Based on observations and interviews it was determined that due to lack of supervision by staff, child, C1 was able to leave the facility until parents noticed child, notified teachers and they brought child back to the facility. This poses an immediate risk to the health, safety, and personal rights to children in care. One Type A deficiency was cited as a result of today's inspection. Continued on Page 2 LPA discussed with Director about supervision in the outdoor area. Director stated that they placed a work order and had the gates fixed but they still do not self close. Director stated that they will place another work order to remove the inside gate and place a manual one so parents and staff can close it and not wait for it to self close. The manual gate will be installed by 05/02/2025. For now, they have placed the tables and bench in a zig zag pattern to prevent easy access to the gates. A chain has been placed on the inside gate so it cannot be pushed open and one staff is positioned next to the inside gate. Director stated that during busy morning and afternoon pick up times additional staff will be positioned to prevent similar incidents. LPA also advised Director that a retractable child gate can be considered between the two gates as an added measure. One Type A deficiency was cited as a result of today\342\200\231s inspection. LPA Raja informed Director that this report dated 04/02/2025 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA Raja informed Director to provide a copy of this licensing report dated 04/02/205 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Appeal rights and LIC 9224 were printed and provided. Exit interview conducted and a plan of correction was reviewed with Director, Anne Horgan. A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.