Incident investigation·May 6, 2022

On 05/06/2022, Licensing Program Analyst (LPA) Robert Gutierrez met with Site Supervisor, Marcela Garcia for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident, reported to the Fresno Community Care Licensing (CCL) office. This incident occurred at the facility in playground on 04/26/2022 and was reported to the CCL office on 04/27/2022 after 5:00 PM. This incident involved a day-care child who fell and hit his head on the cement in the playground. While running in the playground sometime between 12:15 PM \342\200\223 12:40 PM Child #1 (C1) fell onto the cement. Child #2 (C2) running after C1 fell on top him/her. Staff #1 (S1) was outside alone supervising eight children in care. S1 observed the incident take place and took C1 into the classroom. While in the classroom, S1 informed Staff #2 (S2) that C1 fell but, did not disclose that they fell on their head nor that a C2 fell on top of him/her. Being brought into the classroom, C1 mentioned his/her ear hurt. S2 accessed C1 for injuries pertaining to his/her ear but did not see any swelling or redness. S2 offered C1 a clean towel to clean his/her face. C1 then walked to his cot as it was a transition to nap. After a couple of minutes on the cot, C1 started to cry cupping his ear. S1 then gave a C1 an ice pack and the child fell asleep. C1 later woke up from the nap and for the remainder of the day kept to him/herself. It was at pick up at around 4:00 PM Ms. Garcia noticed a bump on the side of C1 head. It was at that moment the legal guardian of C1 was informed an injury occurred at the facility. C1 was taken home, but still complained about his/her head hurting. C1 was later taken to the hospital and was diagnosed with a head injury. C1 has been released from the hospital but still has not returned back to care. Continued on 809-C With the incident taking place, Program Director Hanadi Rousan scheduled an all staff meeting on 04/29/2022. This meeting addressed topics such as reporting requirements to CCL and legal guardians of children in care, staff supervision and safety in child care settings. Another meeting regarding similar topics shall be scheduled later in the future. As a result of the incident, S1 was let go from the facility. LPA informed Ms. Garcia this incident shall be brought to upper management for review and a meeting could be scheduled. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D) Licensee was provided a copy of their appeal rights. Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.