Follow-up·October 18, 2024

On 10/18/2024, Licensing Program Analysts (LPAs) Nohemi Sanchez and Lady Cabrera conducted an unannounced case management inspection and met with Director Courtnee Hoogland and toured the facility inside and out and a census was taken. LPAs informed Director the purpose of today\342\200\231s inspection. On 09/30/2024, it was reported to the Fresno South Regional office that on 09/27/2024 Child 1 was swinging on the rope and bars from a play structure. Child 1 lost his grip on a rope and fell and hit the back side of their head on the play structure. Teacher provided first aid and gave Child 1 an ice pack. Child 1 had an approximate \302\275 inch laceration on the child\342\200\231s head. Shortly, Parent arrived for pick up and was updated regarding incident. Parent transported Child 1 to urgent care. Child 1 was treated by medical staff and received two staples to laceration. Child 1 returned to school on 09/30/2024 with no restrictions. Director reported that there were 12 children in care, one teacher and two assistants. Director reported teacher and assistants are spread throughout play structured area and will walk around due to children actively playing. LPAs interviewed Teacher. Teacher reported she was in closed proximity while assisting another child on stepping play structure. Child 1 informed and demonstrated to Teacher where they \342\200\234bump his head.\342\200\235 Teacher reported the other two assistants were on the other side of the play structure area. Teacher observed laceration on child\342\200\231s head, provided first aid and an ice pack. Teacher immediately informed the Director of the incident. During the inspection, LPAs observed children actively running and playing in the play structure area. LPAs observed an obstacle single Pebble Bridge. Pebble Bridge has stable steps with connected ropes. LPAs observed that the structure has rubber padding under the structure. LPAs interviewed Director, staff, and Child 1. Child 1 reported they bump their head and did not cry while playing in Pebble Bridge area. LPAs observed a small scab on their head. LPAs observed Child 1 was playing in the same area and reported they like the play structure. Based on the observation of the play structure and interview with the Director, LPAs did not see any concerns with supervision or ability to meet the needs or the health and safety or personal rights of children in care. Report was reviewed and exit interview conducted with Director Courtnee Hoogland. Per Title 22 Division 12 Chapter 1 of the California Code of Regulations, no deficiency is cited. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.