complaint·September 10, 2025

The licensee explained that she performs wellness checks during morning drop-off. She stated that C1 attends her facility one day a week. On the day she became aware of C1\342\200\231s injuries, the licensee stated that C1 seemed fussier than usual, a change she attributed to possible teething discomfort or hunger. Although C1 normally has a hearty appetite, that day C1 ate less than usual. The licensee reported observing nothing unusual during diaper changes. Per the licensee, C1 napped several times in both the morning and afternoon and engaged in play and interaction with other children throughout the day. Despite still eating little as the day progressed, the licensee stated she believed C1 was teething and offered several frozen teething toys, which C1 used and appeared to enjoy. The licensee explained that in the afternoon, a relative picked up C1. The licensee stated she informed the relative about how C1\342\200\231s day had gone, mentioning that C1 seemed fussier than usual and may have been experiencing teething discomfort. To support C1 further, she offered the relative a frozen teething toy to help soothe the discomfort. The licensee was unequivocal in stating that no injuries or accidents occurred while C1 was in her care and that nothing observed that day warranted notifying the authorized representative or seeking medical attention. The licensee stated that the only time C1 was out of her direct line of sight was during nap time. The licensee stated that she physically checked on C1 every 15 minutes. Around midnight on the same day, the licensee stated that she received a message from C1\342\200\231s authorized representative indicating that C1 was in the emergency room with a fractured femur. The licensee stated this was completely unexpected, as she had not observed any injuries when C1 was picked up earlier that day by a relative. Additionally, the licensee noted that she had not been informed about C1\342\200\231s fractured fingers; she only learned of those injuries during a follow-up visit by the LPA on July 23, 2025. The licensee reaffirmed that, had she noticed any signs of injury or trauma, she would have immediately notified C1\342\200\231s authorized representative. The licensee confirmed that on the day in question, she used a Skip Hop activity center, a Graco swing, and a BabyBj \303\266 rn bouncer with C1 , with each used multiple times in strict accordance with the manufacturers \342\200\231 instructions and with supervision. The licensee emphasized that none of these devices were used for napping; any child who falls asleep is promptly placed in a crib. During the initial investigation visit, the LPA verified that all devices were age-appropriate and currently free from any recalls. Additionally, the LPA toured the facility and observed that childcare areas were suitable for infants, with toys and equipment in good repair and sufficient protective padding on the floor. (Continued on LIC9099-C) As part of the investigation, interviews were conducted with the facility\342\200\231s clients, children, and other individuals with knowledge of the facility, but no corroborating information was obtained from these interviews. Additionally, records from the local law enforcement agency did not provide any evidence supporting the allegation of staff misconduct related to the incident under investigation. During the initial visit to the facility on June 25, the follow-up inspection visit on July 23, and on today\342\200\231s visit, the LPA found no evidence of personal rights violations at the facility or unsafe environments for daycare children. The incident was reported to Community Care Licensing verbally and by a written report as required by regulations. Based on available information, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove alleged violations did or did not occur, therefore, the allegations are determined to be unsubstantiated at this time. There were no Title 22 deficiencies cited. This report was reviewed and discussed with the facility\342\200\231s Licensee, Kelsie Jones. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.