Incident investigation·January 14, 2025

A Case Management inspection was conducted at the facility by Licensing Program Analyst (LPA) Y. Yang in response to an Unusual Incident Report (UIR) received 12/20/2024 involving a child sustaining a head injury while in care. During today\342\200\231s visit, the LPA met with the facility\342\200\231s site supervisor, Arlene \342\200\234Corazon\342\200\235 Rivera, to discuss the incident and obtain additional details. The site supervisor reported that on 12/17/24, child C1 was pushed by child C2 while playing on the play yard and lost their balance and hit the back of their head on a wooden step. The site supervisor reported that staff member S1 was standing in the vicinity and went to assist C1. The site supervisor reported that C1 was offered an ice pack several times but C1 refused. The site supervisor reported that C1\342\200\231s authorized representative was notified and C1 was comforted while awaiting pick up by their authorized representative. The site supervisor stated that C1\342\200\231s authorized representative transported C1 to be examined by a medical professional. The site supervisor stated that C1\342\200\231s authorized representative notified her that C1 sustained a concussion because of the injury. During today's case management visit, the LPA reviewed with the site supervisor the facility's child supervision policies. The LPA inspected the outdoor play area and observed that the wooden step that child C1 fell on was an age-appropriate, piece of childcare equipment from an outdoor obstacle set. The LPA also observed that there is sufficient wood chip cushioning material in this area even though there were no play structures present that require fall cushioning. This incident was reported to CCLD and the child\342\200\231s authorized representative as required per regulations. Based on available information, it has been determined that there was no evidence of violations of regulations that occurred that lead to the child's injury. This report was read and reviewed with the site supervisor, Arlene \342\200\234Corazon\342\200\235 Rivera, Site Supervisor. There were no Title 22 violations cited during today's case management visit. The Notice of Site Visit shall be posted for 30 days.