Incident investigation·August 23, 2024

On 8/23/2024 Licensing Program Analyst (LPA) German Negrete made an unannounced visit for the purpose of conducting a Case Management - Incident inspection. LPA met with Center Director Tiffany House and Assistant Director Maricela Garcia and informed them the purpose for todays inspection. Today, LPA did a walk through of the Child Care Center with the Center Director. LPA observed at the time of the walk-through 15 children being supervised by 5 staff. On 06/05/2024, Director Tiffany House contacted Community Care Licensing (CCL) to self-report the following unusual incident : At approximately 4:25PM C1, C2 and other children were playing at a play structure in a tunnel and C2 pulled on C1's arm inside the tunnel. C1 started crying. C1 ran up to the staff. Staff applied ice and the assistant director called mother of C1. Parent took C1 to urgent care(Exer Urgent Care). It was determined C1 received a dislocated elbow. As of 6/5/2024 C1 returned with no cast. No doctors note. The ratio at the time of the incident was 29 children with 3 teachers providing care and supervision. The Unusual Incident Report (LIC624) was received via email on 6/6/2024 . The LIC624 provided details on the administrative action the preschool program took and information on the urgent care facility. Continued-809C Today LPA conducted Children's file review and staff interviews which confirmed multiple similar unusual incidents have occurred in the past 20 months. One incident occurred on 5/1/2023. A second incident occurred on 4/20/2023. A third incident occurred on 12/06/2022 and the fourth incident occurred on 06/04/2024. All four incidents are under review by the department. LPA has requested staff roster, children\342\200\231s roster (of current and previously enrolled staff). Also, LPA requested copies of the LIC624 for the aforementioned unusual incidents. Due to insufficient information, the investigation is ongoing. No deficiencies are being cited today. Exit interview was conducted, report reviewed, and copy was provided to Center Director. Notice of site visit was given. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY