At the time of the incident, there were three staff and 18 children present in the play area. The incident was witnessed by Staff 1 and Staff 2. Staff 1 was substituting for Teacher Director Lawson on that date. LPA spoke to Teacher Director Lawson and Staff 2 during today’s inspection. Teacher Director Lawson was not present at the time of the incident, but stated she asked Child 1 how the incident happened. LPA spoke to Staff 2, who stated she was positioned in the northwest corner of the wood chip area where the play structure is located and was assisting the children during clean up time when she saw Child 1 run up the red steps on the play structure and come sliding down the green slide. Staff 2 stated that once child was off the slide, Child 1 ran up to Staff 2 with Child 1’s hands covering Child 1’s mouth and crying. Staff 2 observed blood on Child 1’s mouth. Staff 2 took Child 1 to the classroom, sat Child 1 down, got a wet towel, and put gloves on. Staff 2 cleaned the blood and noticed that Child 1’s two top front teeth were pushed back. Staff 2 immediately took Child 1 to the school nurse who made an ice pack for Child 1. Staff 2 held the ice pack on Child 1’s mouth while the nurse called Child 1’s parents. Parents arrived at the facility and the nurse advised them to take Child 1 to the dentist. The parent reported they took Child 1 to the dentist and Child 1’s two front top teeth were pulled. Child 1 returned to care on 02/24/2020.

(Continued on next page, LIC809-C)

This appears to be an isolated incident and staff took appropriate measures to address the child’s injury, following appropriate policies, regulations, and reporting requirements.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency was cited during today’s inspection.

A copy of this report to be made available to the public upon request.

LIC 9213 Notice of Site Visit to be posted for 30 days.