Incident investigation·April 4, 2024

On 04/04/2024, Licensing Program Analysts (LPAs) Valerie Mireles and Christopher Burnias met with Head Teacher Cynthia Trujillo for an unannounced Case Management inspection. A complete file review was conducted prior to today's inspection. LPAs toured the facility inside and outside and a census was taken. There were 30 children separated into two classrooms. The purpose of today's inspection was to address an unusual incident that took place at the facility on 03/18/2024. An Unusual Incident Report was submitted to the Fresno Community Care Licensing (CCL) Office regarding an incident that occurred, on 03/18/2024, involving a daycare child that fell while riding a tricycle resulting in the child sustaining a fracture to the child's right elbow. On 04/04/2024, LPAs spoke with the Head Teacher, Staff #1, and Staff #2, who were present when the incident occurred and were in proximity of the child when the incident occurred. According to the staff, the child was riding the tricycle, made a wide left turn into the chain link fence and toppled over on the right-side landing onto the ground. Staff #1, Staff #2 and the Head Teacher inspected the child and observed a golf ball sized bump on the right elbow and the child was provided an ice pack. The Head Teacher contacted parents and the child was picked up within 30 minutes of the incident occurring. Per the Head Teacher, the child was taken by parent to the emergency room and saw a physician on the date of the incident and was diagnosed with a broken right elbow. The facility is willing to accommodate the child\342\200\231s needs; however, the parent has chosen not to return the child to preschool until after consulting with the child\342\200\231s doctor. The child has a follow-up medical appointment scheduled for, 04/25/2024, to assess the healing of the injury. Upon recommendation by the doctor, the child\342\200\231s parents may choose to return the child to the preschool. The Head Teacher reported that they will be able to meet and accommodate the child's needs at any point during the child\342\200\231s healing process. Continued to LIC809-C. On 04/04/2024, LPAs observed the outdoor play area where the incident took place. The outdoor play area and tricycles were inspected and were in good condition with no visible defects. The tricycles rolled smoothly and the cement had no visible cracks that would be a tripping hazard. At the time of the incident there were three teachers present, a Behavior Specialist Program Assistant, and approximately 10 children present at the outdoor playground where the incident occurred; therefore, adequate supervision was in place. Based on the information obtained, LPAs determined staff handled the incident correctly and reporting requirements were met. After interviewing staff and reviewing facility records, LPAs 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 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 Head Teacher Cynthia Trujillo. LIC 9213 Notice Of Site visit form was provided to Licensee and is required to be posted for 30 days.