Incident investigation·December 19, 2025

An unannounced case management inspection was conducted today at 10:20am by Licensing Program Analyst (LPA), Sydney Sims and Erica Laird. LPA met with Director Lisa O'neal . In response to an Unusual Incident Report received by the Department on 12/10/25. Where child C1 tripped and fell face first on the playground concrete resulting in C1 getting 3 stitches underneath the chin. The Director was interviewed on 12/19/25 at 10:35am and stated that on 12/10/25 10:20am that the Director had 13 children present and took 12 children outside and left 1 child inside with aide S3. Director stated that upon transitioning outside child C1 was walking with their hands in their pockets and trip over their legs, resulting in C1 sustaining a cut underneath the chin requiring 3 stitches. Three staff (S1 -S3) were interviewed on 12/19/25 and stated that S1 - S3 did not observed the incident of C1 falling. S1 stated that S1 was on break and S2 stated that S2 was inside cleaning at the time of the incident. S3 stated that S3 was inside the infant room at the time the incident occurred, S3 stated that S3 was not supervising a preschool child at the time of the incident. During today’s inspection, the facility was toured two staff records were reviewed, and children's sign in sheets for 12/10/25 were reviewed. Although C1 did sustain an injury while in care it could not be determined that a regulation violation occurred. Based on interviews and record review it was determined that 13 children were in care, and proper ratio was not being maintained at the time of the incident. The following deficiency is being cited on the LIC809-D. 101216.3 (a) Exit interview conducted and report was reviewed with the Director Lisa O' Neal . Appeal Rights were provided. 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.