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25 | Licensing Program Analysts (LPAs) Roxana Lopez and Saul Valenzuela conducted an unannounced Case Management inspection due to an incident that was reported to the Department on 07/01/2024. LPAs met with Licensee Fay Yeh who guided LPAs on a tour of the facility. Census was taken.
On July 1st, 2024, an incident was self-reported to the Department via Phone by the facility who reported a child sustained a cut on their eyebrow on June 16th, 2024.
The report was not reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incident and the reason for Licensee not reporting to the Department.
During the inspection, LPAs conducted interview and record review of staff files with Licensee. Regarding the incident first aid was administered and mother took child to Hospital for a checkup, no stitches were required. At 9;35 am during record review, LPAs observed that Licensee and their two assistants CPR / First Aid did not have the required Pediatric CPR / First Aid training completed. Per Licensee, their assistant was unaware of the Reporting Requirements at the time of the incident. Per Licensee she has very limited knowledge of the reporting requirements. Licensee states that in the past she has reached out to the Department and never received a response. LPA discussed the Reporting Requirements with Licensee. LPA provided Licensee with the Monterey Park Regional Office Incident Reports email to ensure that reporting requirements are being met.
Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Licensee, Fay Yeh.
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