Incident investigation·December 9, 2025

An unannounced case management inspection was conducted today at 2:05pm by Licensing Program Analyst (LPA), Tammy Dutra. LPA met with facility representative Renee McKenzie in response to an Unusual Incident Report received by the Department on 10/16/25. A child in care (C1) was climbing on the climbing structure lost their footing and hit their head causing a bump on the forehead. The facility representative was interviewed on 12/9/25 at 2:28pm and stated that on 10/16/25 at 10:25am a child in care (C1) f ell on the climbing structure and injured their forehead . Facility representative stated that C1's parents were immediately notified and child was given first aid. C1's parents sought medical attention and C1 was cleared medically to return to the facility the following day. One staff (S1) was interviewed on 12/9/25 and stated that C1 was exiting the play structure and on the way down the stairs C1 lost their footing and hit the hand rail at the bottom. C1 was escorted inside and site supervisor was contacted. First aid was applied and parent was contacted. C1 was picked up immediately and taken to seek medical care. C1 was released from medical care and returned to school the following day. S1 did not feel the injury could have been prevented. During today\342\200\231s inspection, the facility was toured and the play equipment was observed to be age appropriate. LPA received a copy of the incident report from the site supervisor. LPA took photos of the play equipment and observed children playing on the equipment. LPA observed staff actively supervising children in care and coaching them on safety precautions to prevent injury. LPA reviewed sign in and sign out sheets and determined there were 12 children with four staff present. LPA attempted to contact C1's parents but was unsuccessful in reaching them. LPA will follow up and attempt further contact to ensure parents have no concerns regarding the care and supervision of their child. Based on interviews and observation LPA determined the play equipment and ratio requirements for staffing were being met. Staff provided first aid and immediately notified C1's parents of the injury to ensure care was provided. Ratio and staffing requirements were followed per Title 22 regulations. It has been determined this injury was an accident and could not have been prevented. There were no deficiencies cited during today\342\200\231s inspection. Exit interview conducted and report was reviewed with the facility representative Renee McKenzie. Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.