Incident investigation·November 5, 2024

On 11/05/2024, 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 10/21/2024, it was reported to the Fresno South Regional office that on 10/14/2024 Child 1 was running from another child in care tripped and hit their lip on a classroom cabinet. Child\342\200\231s lip split. Teacher provided first aid and gave Child 1 an ice pack. Child 1 had a laceration on the child\342\200\231s lip. Shortly, Parent arrived for pick up and was updated regarding incident. Parent transported Child 1 to urgent care and was advised to transport child to emergency room where child would be able to obtain stiches. Child 1 was treated by medical staff and received four stiches to laceration on outside of mouth/lip. Child 1 returned to school on 10/21/2024 with some of stiches had been removed. Director reported that there were eight children in care, and Teacher 1. Director reported Teacher 1 was placed in the middle of the classroom when the incident occurred. Director stated that Teacher 2 arrived shortly to supervise the classroom while Teacher 1 administered first aid to Child 1. LPA interviewed Teacher 1. Teacher 1 reported she was closed proximity while she was supervising eight children in classroom while Teacher 2 was utilizing the restroom. Teacher 1 witnessed the incident and stated that Child 1 was running away from another child when they tripped and fell. Teacher 1 immediately called for help and rushed to provide first aid to Child 1. Teacher 2 contacted parent through Bright wheel (communications application) and called at 8:48 a.m. Parent arrived at 8:58 a.m. to pick up Child 1. Continued on LIC809 - C During the inspection, LPAs observed the classroom. LPAs observed the area where the incident occurred, there were four child size chairs, table, and two cabinets. According to Director, they removed an adult sized chair from the area to reduce possible risk and prevent future incidents. Teachers are expressing the importance of using \342\200\234walking feet\342\200\235 in the classroom and will continue to remind the children to prevent further incidents. Based on the observation of the classroom 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.