complaint·May 28, 2025

Two parents did state their children have received a unusual injury while in care. However, most parents stated they are satisfied with the care and supervision their children/infants receive at the CCC. LPA reviewed Unusual incidents that were self reported to the department. LPA discovered one unusual incident that was self reported to the department on 03/05/25. This incident occurred on 03/04/25, and the following was reported: at approximately 12:50PM after nap time, teacher took C1 out of crib and tried to feed C1, C1 did not want bottle, S3 tried to give toy. S3 noticed C1 wasn't moving left hand as usual, staff observed for a while longer and C1 wasn't using left arm at all. According to S3 there were no marks or bruising on the arm. As mentioned LPA reviewed staff statements pertaining to the 03/04/25 incident. The staff statements revealed C1 was napping and it wasn\342\200\231t until C1 woke up from nap that S3 noticed C1 could not move left arm. Also LPA reviewed C1 infant sleep logs for the date of 03/04/2025, the infant sleep logs revealed S3 was the staff who conducted the 15 minute check. However the infant sleep log has a wake up time of 12:50pm, not 12:30pm. LPA interviewed staff. Both of S3 and S4 stated how S3 and S4 did provide supervision to C1 on 3/4/2025 and how S3 noticed C1 in discomfort, crying at approximately 12:50PM. S3 informed S4 of C1's condition once S4 returned from Lunch. S4 contacted parent at approximately 1:30PM. In total LPA interviewed three infant staff, two out of the three staff stated they have not received training from the CCC on how to handle infants, however LPA reviewed addendum regarding personal rights that was signed by the aforementioned staff. Additionally, staff stated, how staff should have notified management regarding C3 condition sooner. LPA reviewed CCC document titles \342\200\234Standard of Conduct Addendum\342\200\235, this pertaining to children\342\200\231s/ infant\342\200\231s personal rights as outlined in title 22. LPA also reviewed a copy of C1 medical report, which states C1 received nursemaid elbow,(ligament slipped out of place). According to the medical report, this injury can occur when an adult pulls on a child\342\200\231s arm causing the ligament to slip out of place (see LIC812). LPA interviewed parent of C1. through a signed declaration, LPA discovered C1 was not in any pain or discomfort at home before being dropped off at the CCC. Parent stated there is a lack of supervision at CCC. Based on LPAs' observations, interviews, and documents collected during the investigation, the preponderance of evidence standard has been met. Therefore, Allegation #1 SUBSTANTIATED . California Code of Regulations, Title 22, is being cited on the attached LIC 9099D. Exit interview conducted and report was reviewed with Area Director Heather Guerrero and Educational manager Educational Manager Alchai Jones Notice of site visit and appeal rights were provided.