Incident investigation·January 21, 2025

On 1/21/2025 Licensing Program Analyst (LPA) German Negrete made an unannounced visit for the purpose of conducting/closing a Case Management - Incident inspection. LPA met with site supervisor Kalee Pizaro and discussed the purpose of the inspection. During the case management inspection, LPA did a walk through of the Facility with site supervisor. At the time of the inspection LPA observed 18 children and 4 staff providing care and supervision. On 12/18/2024 Site supervisor contacted Community Care Licensing (CCL) to self-report the following unusual incident : at approximately 3:15PM C1 was outside playing on the grass with other children. During outdoor play time, C1 tripped/slipped and hurt right palm(scraped) and the right thumb. S1 and S2 observed the child crying. S1 and S2 comforted C1. S2 observed C1's palm had a open cut on the bottom portion of the thumb. S1 and S2 took C1 inside and applied ice, washed the hand, and applied more ice. According S2, when the parent arrived to pick up C1, S2 notified the parent. C1 was taken to Ventura Orthopedics. According to Staff and parent, C1 received a fracture, and C1 is currently wearing a brace on the right hand. Site Supervisor stated, parent did not provide a doctor's note. The date the facility submitted a written Unusual Incident Report (LIC624) is till unknown. However LPA was able to obtain the email the facility utilized for submitting the UIR. The email utilized is not a email that corresponds with the Santa Barbara regional office CCL.(cclpbarb@dss.ca.gov). Continued on LIC809-C On 1/14/2025 LPA reviewed records and children files(LIC857). LPA did not observe a incident report in C1's file. LPA also conducted staff interviews (see LIC812). Additionally LPA conducted parent interview (See LIC812). Due to C1's file missing a unusual incident report (12/18/2025). Facility will receive a technical violation. Due to facility not submitting a written unusal incident report(LIC624) through the appropriate channels of communication the facility will receive a type B violation. The report was read to Site Supervisor, Notice of site visit was provided to Site Supervisor. Appeal Rights were also provided.