Incident investigation·May 18, 2022

Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management- Incident inspection. LPA met with Director Sandra "Yvette" Calderon and Licensee Diana Manix and explained the reason for the inspection. The purpose of this inspection is to review an incident that was self reported on 05/10/2022. The incident occurred on 05/10/2022 involving C-1, where C-1 sustained a broken bone and dislocated their elbow. During today's inspection, LPA interviewed staff, children, and parents. LPA inspected the playground area. LPA observed that the playground is age appropriate and is for children ages 2 year old to 5 years old. There is resilient material around the play structure. Based on interviews, C-1 was going down the ladder, slipped, and fell forward. There was one staff with 9 children at the time of the incident. The staff was standing by the gate. Director called 9-11 following the incident. Facility does have video feed; however, video footage deletes after the seventh day. LPA was unable to review video footage during today's inspection. Based on the information obtained, LPA determined that more information is needed. LPA advised Director and Licensee that a follow-up inspection will be conducted. Present during today's inspection were 8 staff and 36 children. S-1, S-2, and S-3 have cleared fingerprints and are associated to ABC Learning Montessori #434407563, but not to this current facility number. Licensee has access to the facility roster for #434407563. Licensee Kana Manix transferred S-1, S-2, and S-3's fingerprints to this facility number during today's inspection. Licensee and Director were reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or -----------------------continues on 809 dated 05/18/2022 page 2---------------------------------- --------------------------continuation of 809 dated 05/18/2022 page 1---------------------------- exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. As a result of this inspection, a Type B and a civil penalty of $300 was assess for caregiver background check. Exit interview conducted and report was reviewed with the licensee Diana Manix and Director Yvette Calderon. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.