Incident investigation·June 24, 2024

An unannounced follow up case management inspection was conducted in response to a case management inspection on 5/10/24 today at 1:00pm 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 a 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 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. Two staff were interviewed on 5/10/24, and 6/24/24 and stated that the incident that occurred was an accident and that staff S2 was trying to prevent C1 from hitting their head on the concrete. During today\342\200\231s inspection, the facility was toured and LPAs observed 15 children in care. Although child C1 did receive an injury while in the care of the facility it could not be determined that a personal rights violation occurred. Exit interview conducted and report was reviewed with the Assistant Director Theresa Eisen appeal rights were provided.