Incident investigation·May 23, 2023

Licensing Program Analyst (LPA), Kassandra Medrano, conducted an unannounced Case Management Inspection in response to an unusual incident that the facility self reported to Community Care Licensing (CCL) on 5/17/2023. LPA met with the Director, Wendy Ramirez, and explained the nature of today's inspection. This visit was made to inquire about an unusual incident that occurred on May 15, 2023. During today's visit LPA Medrano toured the facility, interviewed staff, and reviewed pertinent documents. It was reported to facility by a guardian that their child sustained an unexplained bruise in care and child reported that staff mishandled them while in care. Based on staff interviews, review of video footage, as well as the self reported incident report. It was found that staff not only mishandled one child but another as well. LPA observed staff grab the children by their arm and pull them down from the structure. Exit interview conducted, and a copy of this report was provided and reviewed with the Director, Wendy. California Code of Regulations, Title 22 deficiencies are being cited on the following page(s): "NOTICE OF SITE VISIT" DOCUMENT WAS POSTED ADJACENT TO THE MAIN ENTRY DOORWAY AND VISIBLE TO PARENTS. LICENSEE MUST POST ANY TYPE A DEFICIENCIES DURING TODAYS VISIT WITH THE NOTICE AND LICENSEE UNDERSTANDS THE NOTICE AND TYPE A DEFICIENCIES MUST REMAIN POSTED FOR THIRTY DAYS. REQUIREMENTS FOR AB 633 FACT SHEET AND A COPY OF ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC 9224) WERE DISCUSSED WITH APPLICANT/PROVIDER. PROVIDER UNDERSTANDS THIS REQUIREMENT.