Incident investigation·March 20, 2025

An unannounced case management inspection was conducted today on 3/20/25 at 10:25 am by Licensing Program Analyst (LPA), Tammy Dutra and Elizabeth Friese. LPA met with facility representative Laura Robles in response to an Unusual Incident Report received by the Department on 3/12/25. On 3/12/25 a child in care (C1) was grasping for a ball and stuck their fingers under the toy shopping cart and when they came up C1 was missing one fingernail on their right middle finger and hurt their left ring finger. The facility representative was interviewed on 3/20/25 at 10:25am and stated that on 3/12/25 at 10:30 am a child (C1) fell. There were six children present with two staff members during the incident. C1 was taken inside and first aid was administered while the staff attempted to contact the C1's parent. A parent picked up C1 approximately one half hour later and C1 was seen at the Ampla Health Express. C1 lost two fingernails. C1 has not returned to Center. Four staff were interviewed on 3/20/25 and shared the same details about the incident. Neither staff members present on the playground witnessed the injury but one staff noticed the child was crying and missing a fingernail. C1's injuries were washed and bleeding was stopped. S1 applied a bandage and site supervisor and parent were contacted. Illness and injury report was filled out. During today\342\200\231s inspection, the facility was toured inside and outside. LPA reviewed the play equipment that the child was injured on and saw that pool noodles had been placed inside the playhouse to prevent further injuries. Four children and two staff members were in the facility. LPA observed facility was in ratio and no title 22 violations were observed. There were no deficiencies cited during today\342\200\231s inspection. Exit interview conducted and report was reviewed with the facility representative Patricia Schweitzer. Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days.