Incident investigation·October 26, 2021

On October 26, 2021, Licensing Program Analysts (LPA) Kari McWilliams conducted an unannounced case management inspection. LPA toured the facility and a census was taken. LPA met with coordinator Kimbra Draper. The purpose today's inspection was to discuss an incident that occurred on September 2, 2021. During today's inspection LPA McWilliams interviewed staff, review children files, and inspect facility grounds. A complete file review was conducted prior to today's inspection. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office regarding an incident that occurred on September 2, 2021 where Child #1 was playing on the structure and slipped off of the second step of the play structure falling landing with their arm behind their back. Child #1 was transported to urgent care by mom where ex-rays were taken and determined that child #1 broke their arm above the elbow and required surgery. Through staff interviews, facility inspection of the play structure and observations it is determined that the structure has adequate tanbark cushioning under the step and child #1 falling and breaking his arm was not due to lack of supervision or care of staff present. Per Title 22 Division 12 Chapter 1 of the California Regulations, there are no deficiencies being cited. An exit interview was conducted with Coordinator Draper. A notice of site visit was given and must remain posted for 30 days.