Follow-up·May 10, 2024

An unannounced case management inspection was conducted today at 12:10pm by Licensing Program Analyst (LPA), Sydney Sims and Tammy Dutra. LPA met with Licensee Susan Wilson . In response to an Unusual Incident Report received by the Department on 4/16/24 , where a child sustained dislocated elbow while in care. The facility representative was interviewed on 5/10/24 at 12:48pm and stated that on 4/16/24 child C1's behavior was very severe and C1's parents were called to pick up C1 from the facility. Licensee stated that S2 was the staff present for the incident and that S2 was holding C1's hand and C1 threw themselves backwards. S2 tried to keep C1 from hitting their head, and S1 was still holding C1's hand and then C1's elbow dislocated. One Child (C1) was interviewed on 5/10/24 and stated that staff S2 grabbed C1's arm and bent it back hard. One staff (S1) was interviewed on 5/10/24, S1 stated that S1 was present for the incident and that C1's behavior was particularly difficult that day and C1's parents were called to pick C1 up. S1 stated that the incident was an accident and S2 was trying to prevent C1 from hitting their head. During today\342\200\231s inspection, the facility was toured and LPAs observed 10 children in care. LPAs requested a copy of the facility roster, Personnel Roster, Incident reports and behaviors charts for C1. Based on information gathered further investigation is needed. Exit interview conducted and report was reviewed with the licensee Susan Wilson. Appeal Rights were provided.