Incident investigation·January 26, 2023

Licensing Program Analyst (LPA) Salene Mayberry met with Program Lead Savanah Covarrubias to follow up on the Unusual Incident Report (UIR) submitted to Community Care Licensing on January 17, 2023. During today's visit the facility was toured. LPA interviewed Program Lead who was present during the incident. LPA learned that on 1/10/23, during the afternoon transition back inside, Child #1 (C1) was left behind without visual supervision while the other children and staff returned to the classroom. Approximately 5 minutes later staff realized C1 was missing and located him approximately 64 feet away from the front door. A Type A deficiency was cited on the subsequent page (LIC809-D) of this report. Upon receipt of Type A citations, the facility shall post and provide copies of the LIC809-D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. The facility must also keep a signed \342\200\234Acknowledging Receipt of Licensing Reports\342\200\235 (LIC9224) in each child's file. The report was reviewed with Program Lead. LPA provided Program Lead with a copy of the report and Appeal Rights. A Notice of Site Visit was posted, and Program Lead understands it must remain posted for 30 days, and that a failure to comply with posting requirements shall result in an immediate civil penalty of $100.