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13 | On 11/07/2023, Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Director Iona Thompson (Director), for the purpose of investigating and delivering findings to a complaint investigation alleging that a child was injured due to lack of supervision, and the facility failed to report incidents as required. During the investigation, LPA observed care, obtained and reviewed relevant facility documentation, and conducted interviews. Based on witness statement, and/or record review, a child (Child1) sustained a dislocated elbow while being handled by staff and, in a separate incident, suffered injuries due to a fall off of a toy. When Child1 fell off the toy, staff was nearby but failed to ensure Child1 got off the toy safely. Neither incident was reported to the Department by the facility, and in each incident, Child1 required emergency medical assessment and care. The preponderance of evidence standard has been met, therefore the above allegations are SUBSTANTIATED. Director was informed that this report dated 11/07/2023 documents two deficiency citations on the LIC 9099-D. Exit interview was conducted and a copy of this report was given to Director Iona Thompson. Notice of site was given and must remain posted for parental review for 30 days. Appeal rights were provided. |
| Substantiated | Estimated Days of Completion: |
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
11/30/2023
Section Cited
CCR
101229(a)(1) | 1
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7 | The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time ... Supervision shall include visual observation. This requirement was not met, | 1
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7 | Director stated they will provide all staff with training on supervision, with a focus on preventing injuries to children in care. Director stated they will email to LPA on or before POC due date the training materials and the staff sign-in sheet.
LPA email: jennifer.velasco@dss.ca.gov |
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14 | as evidenced by: Based on witness statements and photographic evidence, the facility did not comply with the section cited above by failing to prevent a child sustaining an injury that required medical treatment. This is a potential risk to health, safety and or personal rights of children in care. | 8
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Type B
11/30/2023
Section Cited
CCR
101212(d) | 1
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7 | Upon the occurrence... of ... events... a report shall be made to the Department... within the... next working day... In addition, a written report ... shall be submitted to the Department within seven days... This requirement was not met as evidenced by | 1
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7 | Director stated they will provide all staff with training on the need to report to the Department as required any incidents that include injuries that require medical assessment and/or treatment. Director stated they will create a detailed written plan to ensure the facility will meet this requirement |
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14 | Based on record review and interview, the facility did not comply with the section cited above by failing to report the incident to licensing department as required. This is considered a potential health, safety, or personal rights risk to persons in care. | 8
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14 | and provide to LPA on or before the POC due date the detailed written plan.
LPA email: jennifer.velasco@dss.ca.gov |