Incident investigation·November 4, 2024

On 11/04/2024, Licensing Program Analyst (LPA) Valerie Mireles met with Director Sonja Stephens for an unannounced case management inspection. A complete file review was conducted prior to today's inspection. LPA toured the facility. The purpose of today's inspection was to address an unusual incident that took place at the facility on 08/28/2024. An Unusual Incident Report was submitted to the Fresno Community Care Licensing (CCL) Office regarding an incident that occurred on 08/28/2024 involving a daycare child that fell while riding a balance bike resulting in the child sustaining a cut to their chin requiring stitches. On 11/04/2024, LPA spoke with four staff who were present and providing supervision to the children in the classroom when the incident occurred. The staff was consistent with their statements stating that the child was riding the balance bike, when the wheel got stuck on the carpet, causing the child to fall. Staff rendered aid, cleaning up the child, and providing the child with a teether ice pack and bandage. Child\342\200\231s parent was notified immediately and arrived within 15 minutes of the incident. Per Director, the child was taken to the emergency room, saw a physician on the date of the incident and received stitches. The child returned to daycare the following day without restrictions. On 11/04/2024, LPA observed the classroom where the incident took place. The balance bike was inspected and was in good condition with no visible defects and rolled smoothly. At the time of the incident there were three teachers present and nine children in the classroom where the incident occurred; therefore, adequate supervision was in place. Based on the information obtained, LPA determined staff handled the incident correctly and reporting requirements were met. LPA determined facility staff took appropriate measures to address the child\342\200\231s injury, following proper policies and procedures and no regulations were violated. Per Director, she stated that she will take further measures by having having the balance bikes put away until a designated time and area away from the carpet for the balance bikes to be used. Continued to LIC809-C. Per the California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency was cited during today\342\200\231s inspection. Exit interview conducted with the Director, Sonja Stephens.